Evaluation of breast cancer care under Puerto Rico's health care reform

Journal of Health Care for the Poor and Underserved

Volumn 18, Issue 1, 2007, Pages 116-138

  Chirikos, Thomas N ^a   López, Josefina ^b   Cintron, Cristobal ^c   Gonzalez, Omayra L ^d   Peŕez, Maria P ^c   Baez, Luis ^e  

^a H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE   (United States)

^b ProHealth MMM Health Care Inc   (Puerto Rico)

^c PMC Medicare Choice ^*  (Puerto Rico)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e VA Caribbean Healthcare System Puerto Rico   (Puerto Rico)

Author keywords

Breast cancer treatment; Health disparities; Health insurance; Health reform; Managed care; Underserved populations

Indexed keywords

ADULT; AGED; ARTICLE; BREAST TUMOR; ECONOMICS; EVALUATION; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PUERTO RICO; SOCIOECONOMICS; UTILIZATION REVIEW;

ADULT; AGED; BREAST NEOPLASMS; FEMALE; HEALTH CARE REFORM; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HUMANS; MANAGED CARE PROGRAMS; MEDICAL INDIGENCY; MEDICALLY UNDERSERVED AREA; MIDDLE AGED; PRIVATE SECTOR; PUERTO RICO; QUALITY OF HEALTH CARE;

EID: 33947529400     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2007.0006     Document Type: Article

References (43)

1. Alegria M, McGuire T, Vera M, et al. Changes in access to mental health care among the poor and nonpoor: results from the health care reform in Puerto Rico. Am J Pub Health. 2001 Sep;91(9):1431-4.
2. Alegria M, McGuire T, Vera M, et al. The impact of managed care on the use of outpatient mental health and substance abuse services in Puerto Rico. Inquiry. 2001-2002 Winter;38(4):381-95.
3. Perez-Perdomo R, Perez-Cardona C, Rodriguez-Lugo L. Prevalence of diabetes and patterns of health services utilization: a comparative analysis between a private and a health reform group of insured, 1997-1998. P R Health Sci J. 2001 Jun;20(2):139-46.
4. Perez-Perdomo R, Perez-Cardona CM, Disdier-Flores OM. Health disparities between diabetic patients under private and public health coverage in Puerto Rico, 2000. P R Health Sci J. 2003 Dec;22(4):363-8.
5. Brown ML, Lipscomb J, Synder C. The burden of illness of cancer: economic cost and quality of life. Annu Rev Public Health. 2001;22:91-113.
6. Bradley CJ, Given CW, Roberts C. Disparities in cancer diagnosis and survival. Cancer. 2001 Jan 1;91(1):178-88.
7. Nazario CM, Figueroa-Valles N, Rosario RV. Breast cancer patterns and lifetime risk of developing breast cancer among Puerto Rican females. P R Health Sci J. 2000 Mar;19(1):7-13.
8. Ayanian JZ, Kohler B, Abe T, et al. The relation between health insurance coverage and clinical outcomes among women with breast cancer. N Eng J Med. 1993 Jul 29;329(5):326-31.
9. Figueroa JB, Breen N. Significance of underclass residence on the stage of breast or cervical cancer diagnosis. Am Econ Rev. 1995 May;85(2):112-6.
10. Bradley CJ, Gardiner J, Given CW, et al. Cancer, Medicaid enrollment, and survival disparities. Cancer. 2005 Apr 15;103(8):1712-8.
11. Lee-Feldstein A, Feldstein PJ, Buchmueller T, et al. Breast cancer outcomes among older women: HMO, fee-for-service, and delivery system comparisons. J Gen Intern Med. 2001 March;16(3):189-99.
12. Perkins CI, Wright WE, Allen M, et al. Breast cancer stage at diagnosis in relation to duration of medicaid enrollment. Med Care. 2001 Nov;39(11):1224-33.
13. Riley GF, Potosky AL, Klabunde CN, et al. Stage at diagnosis and treatment patterns among older women with breast cancer: an HMO and fee-for-service comparison. JAMA. 1999 Feb 24; 281(8):720-6.
14. Roetzheim RG, Pal N, Tennant C, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst. 1999 Aug 18;91(16):1409-15.
15. Ayanian JZ, Guadagnoli E. Variations in breast cancer treatment by patient and provider characteristics. Breast Cancer Res Treat. 1996;40(1):65-74.
16. Ballard-Barbash R, Potosky AL, Harlan LC, et al. Factors associated with surgical and radiation therapy for early-stage breast cancer in older women. J Natl Cancer Inst. 1996 Jun 5;88(11):716-26.
17. Hillner BE, Penberthy L, Desch CE, et al. Variation in staging and treatment of local and regional breast cancer in the elderly. Breast Cancer Res Treat. 1996;40(1):75-86.
18. Mitchell JM, Hadley J. The effect of insurance coverage on breast cancer patients' treatment and hospital choices. Am Econ Rev. 1997 May;87(2):448-53.
19. Mandelblatt JS, Kerner JF, Hadley J, et al. Variations in breast carcinoma treatment in older medicare beneficiaries: is it black or white. Cancer. 2002 Oct 1;95(7):1401-14.
20. Shavers VL, Brown ML. Racial and ethnic disparities in the receipt of cancer treatment. J Natl Cancer Inst. 2002 May 6:94(5):334-57.
21. Michalski TA, Nattinger AB. The influence of black race and socioeconomic status on the use of breast-conserving surgery for Medicare beneficiaries. Cancer. 1997 Jan 15;79(2):314-9.
22. Elmore JG, Nakano CY, Linden HM, et al. Racial inequities in the timing of breast cancer detection, diagnosis, and initiation of treatment. Med Care. 2005 Feb;43(2):141-8.
23. Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003 Jan 15;289(3):305-12.
24. Asch SM, Sloss EM, Hogan C, et al. Measuring underuse of necessary care among elderly Medicare beneficiaries using inpatient and outpatient claims. JAMA. 2000 Nov 8;284(15):2325-33.
25. American Medical Association (AMA). Principles of CPT® coding, fourth edition. Chicago: AMA, 2006.
26. Mandelblatt JS, Ganz PA, Kahn KL. Proposed agenda for the measurement of quality-of-care outcomes in oncology practice. J Clin Oncol. 1999 Aug;17(8):2614-22.
27. Malin JL, Shuster MA, Kahn KA, et al. Quality of breast cancer care: what do we know? J Clin Oncol. 2002 Nov 1;20(21):4381-93.
28. Molton G. IOM report on quality of cancer care highlights need for research, data expansion. Institute of Medicine. J Natl Cancer Inst. 1999 May 5;91(9):761-2.
29. Schneider EC, Malin JL, Kahn KL, et al. Developing a system to assess the quality of cancer care: ASCO's national initiative on cancer care quality. J Clin Oncol. 2004 Aug 1;22(15):2985-91.
30. Morrow M, White J, Moughan J, et al. Factors predicting the use of breast-conserving therapy in stage I and II breast carcinoma. J Clin Oncol. 2001 Apr 15;19(8):2254-62.
31. Dolan JT, Granchi TS, Miller CC 3rd, et al. Low use of breast conservation surgery in medically indigent populations. Am J Surg. 1999 Dec;178(6):470-4.
32. Gilligan MA, Kneusel RT, Hoffmann RG, et al. Persistent differences in sociodemographic determinants of breast conserving treatment despite overall increased adoption. Med Care. 2002 Mar;40(3):181-9.
33. Richardson LC, Schulman J, Sever LE, et al. Early-stage breast cancer treatment among medically underserved women diagnosed in a national screening program, 1992-1995. Breast Cancer Res Treat. 2001 Sep;69(2):133-42.
34. Hokanson P, Seshadri R, Moller KD. Underutilization of breast-conserving therapy in a predominantly rural population: need for improved surgeon and public education. Clin Breast Cancer. 2000 Apr;1(1):72-6.
35. Du X, Goodwin JS. Patterns of use of chemotherapy for breast cancer in older women: findings from Medicare claims data. J Clin Oncol. 2001 Mar 1;19(5):1455-61.
36. Du X, Goodwin JS. Increase of chemotherapy use in older women with breast carcinoma from 1991 to 1996. Cancer. 2001 Aug 15;92(4):730-7.
37. Carlson RW, Anderson BO, Bensinger W, et al. NCCN Practice Guidelines for Breast Cancer. Oncology. 2000 Nov;14(11A):33-49.
38. Cox CE, Pendas S, Cox JM, et al. Guidelines for sentinel node biopsy and lymphatic mapping of patients with breast cancer. Ann Surg. 1998 May;227(5):645-51.
39. Burack RC, Simon MS, Stano M, et al. Follow-up among women with an abnormal mammogram in an HMO: is it complete, timely, and efficient? Am J Manag Care. 2000 Oct;6(10):1102-13.
40. Chirikos TN. Cancer economics: on variations in the costs of treating cancer. Cancer Control. 2002 Jan-Feb;9(1):59-66.
41. Tollestrup K, Frost FJ, Stidley CA, et al. The excess costs of breast cancer health care in Hispanic and non-Hispanic female members of a managed care organization. Breast Cancer Res Treat. 2001 Mar;66(1):25-31.
42. Glass KP, Anderson JR. Relative value units: from A to Z. J Med Pract Manage. 2002 Mar-Apr;17(5):225-8.
43. Freund DA, Hurley RE. Medicaid managed care: contribution to issues of health reform. Ann Rev Public Health. 1995;16:473-95.