Structural racism may play a part in Black and Latina patients failing to receive the best breast cancer care, according to a new analysis published Thursday.
Minority neighborhoods are likelier to house nonaccredited and under-resourced imaging facilities, which can produce inequities at the initial entryway into the healthcare system, experts wrote in JACR. But what about in terms of further downstream aspects of care?
Wanting to explore these questions, researchers looked to data from the Breast Cancer Care in Chicago study of newly diagnosed patients, treated at safety net hospitals and other institutions.
“These sites serve a disproportionate number of low-income patients and provide a substantial amount of uncompensated care,” Garth Rauscher, PhD, an associate professor of epidemiology at the University of Illinois at Chicago School of Public Health, and co-authors wrote July 8. “We were keenly interested to understand whether inequities in the resources and accreditation of the initial presentation facility might account for some of these disparities but were limited by the modest sample sizes available to us,” they added later.
For their study, Rauscher et al. pinpointed women newly diagnosed with a first primary in situ or invasive breast cancer between 2005 to 2008, conducting detailed interviews and medical records analyses. They additionally logged whether patients were treated at a Disproportionate Share Hospital that serves large volumes of individuals on Medicaid or without insurance, along with checking accreditation status.
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July 12, 2021 at 03:10PM
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Is structural racism preventing Black and Latina patients from receiving the best breast cancer care? - Radiology Business
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