This paper explores barriers to the use of standard screening and breast cancer treatment that result in systematic differences in health outcomes.
We review available data on individual, socioeconomic, and health system determinants of access to standard breast cancer care, including screening, diagnostic, and treatment services.
Based on this review, we discuss the combination of factors which result in underservice.
We argue that a broad framework which considers health system and social class as well as individual factors is useful for analyzing how structures of health care delivery tend to provide less than standard care to women who are older, have less income, or are less educated, black, or Hispanic.
Data collection efforts which do not include structural and socioeconomic variables may result in an incomplete or misleading understanding of the determinants of underservice.
These factors also need to be considered in the design and evaluation of public health policies and interventions meant to ameliorate the effects of underservice.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Femelle, Homme, Article synthèse, Statut socioéconomique, Système santé, Ethnie, Race, Promotion santé, Dépistage, Mammographie, Traitement, Anticancéreux, Minorité, Pauvreté, Age, Assurance maladie, Economie santé, Glande mammaire pathologie, Radiodiagnostic, Diagnostic, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Female, Human, Review, Socioeconomic status, Health system, Ethnic group, Race, Health promotion, Medical screening, Mammography, Treatment, Antineoplastic agent, Minority, Poverty, Age, Health insurance, Health economy, Mammary gland diseases, Radiodiagnosis, Diagnosis, United States, North America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0427043
Code Inist : 002B20E02. Création : 10/04/1997.