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Published Date: October 01, 2008
What impact do racial and ethnic disparities have on disadvantaged men in a prostate cancer public-assistance program? In this examination of California's IMPACT program, the authors evaluated racial and ethnic differences in health services utilization and patient-reported health care outcomes. They also sought to identify modifiable factors that might explain persistent disparities in this health care setting. Among their findings: IMPACT's bi-lingual clinical care coordinators, interpreter services and Spanish-language educational materials contributed to exceptionally high satisfaction among Spanish-speaking Hispanic men. Less acculturated Spanish-speaking Hispanic men likewise reported high satisfaction, in part because traditional distrust of health care services may contribute to fewer unmet-expectations. Although challenges to care remained among white and black men, the high satisfaction reported by Hispanic men indicate that "the needs of this often difficult-to-reach population are being met," according to the authors.
Publication Authors:
Publication Authors:
- David Miller
- Lillian Gelberg, MD, MSPH
- Lorna Kwan
- Sevan Stepanian
- Arlene Fink
- Ronald M. Andersen, Ph.D.
- Mark S. Litwin