Socioeconomic and demographic factors that predict where children receive cancer care in Florida.
Socioeconomic and demographic factors associated with type of facility (cancer center vs non-cancer center) at which a child with cancer is seen were identified to suggest interventions to increase access to state-of-the-art care. The 2268 children with cancer in Florida (1981-1986) were classified as ever having been seen or not having been seen at a cancer center. Patients referred from one type of facility to another were compared to those not referred. Nineteen percent of children with cancer were never seen at a cancer center. These children were likely to be older (15-19 years of age), have Hodgkin's disease or a brain tumor, reside in a county without a cancer center, or have higher median income. Interventions extending state-of-the-art cancer care beyond cancer centers should target (1) physicians treating adolescent-aged children and (2) patients for whom private insurance may serve as a barrier to referral and protocol therapy.
Roush
S W
SW
Florida Association of Pediatric Tumor Programs, Gainesville 32604.
Krischer
J P
JP
Cox
M W
MW
Pollock
B H
BH
D000293:Adolescent; D000328:Adult; D002173:Cancer Care Facilities / Q000191:economics / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005431:Florida; D006801:Humans; D007223:Infant; D008297:Male; D009369:Neoplasms / Q000191:economics* / Q000628:therapy*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012959:Socioeconomic Factors