Factors associated with use of a high-volume cancer center by black women with ovarian cancer Journal Article


Authors: Cowan, R. A.; Shuk, E.; Byrne, M.; Abu-Rustum, N. R.; Chi, D. S.; Boutin-Foster, C.; Brown, C. L.; Long Roche, K.
Article Title: Factors associated with use of a high-volume cancer center by black women with ovarian cancer
Abstract: OBJECTIVE Disparities exist between population subgroups in the use of gynecologic oncologists and highvolume hospitals. The objectives of this study were to explore the experiences of black women obtaining ovarian cancer (OC) care at a high-volume center (HVC) and to identify patient-, provider-, and systems-related factors affecting their access to and use of this level of care. MATERIALS AND METHODS Twenty-one semistructured interviews were conducted as part of an institutional review board-approved protocol with women who self-identified as black or African American, treated for OC at a single HVC from January 2013 to May 2017. Recurring themes were identified in transcribed interviews through the process of independent and collaborative thematic content analysis. RESULTS Five themes were identified: (1) internal attributes contributing to black women's ability/desire to be treated at an HVC, (2) pathways to high-and low-volume centers, (3) obstacles to obtaining care, (4) potential barriers for black women interested in treatment at an HVC, and (5) suggestions for improving HVC use by black women. Study participants who successfully accessed care were comfortable navigating the health care system, understood the importance of self-advocacy, and valued the expertise of an HVC. Barriers to obtaining care at an HVC included lack of knowledge about the HVC, lack of referral, transportation difficulties, and lack of insurance coverage. CONCLUSION In this qualitative study, black women treated at an HVC shared attributes and experiences that helped them access care. There is a need to collaborate with black communities and establish interventions to reduce barriers, facilitate access, and disseminate information about the value of receiving care for OC at an HVC. © 2019 American Society of Clinical Oncology. All rights reserved.
Journal Title: Journal of Oncology Practice
Volume: 15
Issue: 9
ISSN: 1554-7477
Publisher: American Society of Clinical Oncology  
Date Published: 2019-09-01
Start Page: e769
End Page: e776
Language: English
DOI: 10.1200/jop.18.00741
PUBMED: 31335249
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 October 2019 -- Source: Scopus
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MSK Authors
  1. Carol Brown
    124 Brown
  2. Dennis S Chi
    508 Chi
  3. Kara Christine Long
    64 Long
  4. Elyse Shuk
    53 Shuk
  5. Renee Antonette Woodburn Cowan
    13 Cowan
  6. Maureen Byrne
    4 Byrne