Health Service Use in the Elderly with Cancer

患有癌症的老年人的健康服务使用

基本信息

批准号：
7117621
负责人：
ALEXANDER M MCBEAN
金额：
$ 26.75万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-15 至 2009-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): High 5-year relative survival rates for common cancers types such as breast, colorectal and prostate, mean that persons with these cancers should receive recommended preventive services, as well a high quality care for other co-existing chronic diseases. This project will test if recommended clinical preventive services and quality of care guidelines are met as frequently among elderly Americans who develop cancer as among elderly persons without cancer. The services we will study are (a) influenza immunization; (b) the diabetes quality of care measures: annual determination of serum hemoglobin Alc, serum low-density lipids, eye examination, and monitoring for nephropathy; and (c) screening for breast, colorectal and prostate cancer. We will study elderly Medicare fee-for-service beneficiaries identified in the Surveillance, Epidemiology and End Results (SEER)-Medicare linked database with incident breast, colorectal or prostate cancer in 1999, or incident breast or prostate cancer in 1996 or 1997. Specifically, we will: 1. Compare the rates of utilization of the recommended care in the newly diagnosed cancer patients in the period after the completion of initial treatment to the rates in a 5% sample of elderly Americans living in SEER areas who do not have cancer; 2. where sufficient statistical power exists, we will compare the use of services in the majority population (non-Hispanic whites) with the minority population groups: non-Hispanic blacks, Hispanics and Asians. In addition, we will do a stratified sub-set analysis of use of these measures among persons who are diagnosed with carcinoma in situ or localized cancer compared with those with regional or distant disease. As a result of this study, providers will know if an increased emphasis needs to be placed on providing these services to all persons with these types of cancer or to certain sub-groups of the population.

描述（由申请人提供）：乳腺癌，结直肠癌和前列腺等普通癌症类型的高5年相对生存率，意味着患有这些癌症的人应获得推荐的预防服务，以及针对其他共存的慢性疾病的高质量护理。该项目将在建议的临床预防服务和护理质量指南中测试，而在没有癌症的老年人中，患癌症的老年人频繁遵守。我们将研究的服务是（a）流感免疫；（b）糖尿病的护理质量措施：血清血红蛋白ALC，血清低密度脂质的年度测定，眼睛检查和监测肾病；（c）筛查乳房，结直肠癌和前列腺癌。我们将研究在监视，流行病学和最终结果（SEER） - Medicare在1999年与事件的乳腺，结直肠或前列腺癌连接的老年医疗保险收费受益人，或1996年或1997年的事件或前列腺癌，具体来说：1。居住在没有癌症的塞尔地区的5％样本中的5％样本中的比率； 2。在存在足够的统计能力的情况下，我们将比较多数人口（非西班牙裔白人）的服务使用与少数人口群体：非西班牙裔黑人，西班牙裔和亚洲人。此外，与有区域或远处疾病的人相比，我们将对被诊断为现场癌或局部癌症的人进行分层的子集分析。这项研究的结果是，提供者将知道是否需要越来越重视为这些类型的癌症或某些人群的某些人提供这些服务。