title: Factors associated with perceptions of the cancer care system: a multilevel modeling approach.
abstract: Perceptions about the health care system are a key driver of disparities and utilization. This study examined individual and contextual factors related to care and noncare dimensions and their relationship to perceptions of the cancer care system. A national sample of 877 cases was modeled using a multilevel modeling approach. Insurance complaints, number of treatments, and advocacy impact were negatively associated with satisfaction with the cancer care system at the individual level. Also, respondents in states where more Christians resided and lower hospital capacity were more likely to indicate satisfaction. Findings suggest implications for practitioners and health policy makers.
authors.affiliation: a School of Social Work , University of Maryland , Baltimore , MD , USA.
authors.forename: Seokho
authors.initials: S
authors.lastname: Hong
authors.forename: John
authors.initials: J
authors.lastname: Cagle
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002835:Christianity / Q000523:psychology; D003695:Delivery of Health Care; D005260:Female; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D055361:Multilevel Analysis; D009369:Neoplasms / Q000628:therapy*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014481:United States