Cancer Heath Disparities: Moving From Why They Occur to How They Can Be Prevented (vol 30, pg 354, 2012)
College of Medicine and Comprehensive Cancer Center, The Ohio State University, Columbus, OH.Journal of Clinical Oncology (Impact Factor: 17.88). 12/2011; 30(4):354-6. DOI: 10.1200/JCO.2011.39.5947
- Journal of Clinical Oncology 04/2013; 86(10). DOI:10.1200/JCO.2012.47.8412 · 17.88 Impact Factor
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ABSTRACT: The call for community-based participatory research approaches to address cancer health disparities is increasing as concern grows for the limited effectiveness of existing public health practice and research in communities that experience a disparate burden of disease. A national study of participatory research projects, Research for Improved Health, funded by the National Institutes of Health (2009-2013), identified 64 of 333 projects focused on cancer and demonstrated the potential impact participatory approaches can have in reducing cancer disparities. Several projects highlight the success of participatory approaches to cancer prevention and intervention in addressing many of the challenges of traditional practice and research. Best practices include adapting interventions within local contexts, alleviating mistrust, supporting integration of local cultural knowledge, and training investigators from communities that experience cancer disparities. The national study has implications for expanding our understanding of the impact of participatory approaches on alleviating health disparities and aims to enhance our understanding of the barriers and facilitators to effective community-based participatory research.Preventing chronic disease 05/2013; 10:E78. DOI:10.5888/pcd10.120205 · 1.96 Impact Factor
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ABSTRACT: An interactive audio and video telemedicine feasibility program was established to provide counseling on breast cancer risk-reducing strategies for underserved, high-risk Alaskan native women through a collaboration among the Alaska Native Medical Center, the Mayo Clinic Breast Clinic, Mayo's Center for Innovation, and the Alaska Federal Health Care Access Network. The telemedicine model included a navigator to facilitate patient encounters (referrals, electronic records, and scheduling) and a subscription billing contract. Between January 1 and December 31, 2011, 60 consultations were provided to the Alaska Native Medical Center. A survey of a sample of 15 women demonstrated overall patient satisfaction of 98% pertaining to the experience, technology, and medical consultation. The referring physician satisfaction, from 11 visit surveys and 8 referring physicians, revealed 99% satisfaction with the service. In this telemedicine pilot study, we demonstrated the feasibility of a telemedicine program to provide integrated specialty care that resulted in a positive effect on patient satisfaction. This program has a sustainable business model, thus creating a new modality for health care delivery.Mayo Clinic Proceedings 01/2013; 88(1):68-73. DOI:10.1016/j.mayocp.2012.10.015 · 5.81 Impact Factor
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