Breidenbach, Clara and Wesselmann, Simone and Sibert, Nora Tabea and Ortmann, Olaf and Blankenburg, Katrin and Stoklossa, Cindy and Gebauer, Gerhard and dos Santos Guilherme, Marina and Lindner, Christoph and Peschel, Susanne and Schad, Friedemann and Strecker, Paul and Rieger, Lorenz and Ferencz, Julia and Dieng, Sebastian and Kowalski, Christoph (2021) Use of social service counseling by cancer patients: an analysis of quality assurance data of 6339 breast cancer patients from 13 certified centers in Germany treated between 2015 and 2017. BMC CANCER, 21 (1): 671. ISSN , 1471-2407
Full text not available from this repository. (Request a copy)Abstract
BackgroundIntegrated social care may help to mitigate social risk factors in order to achieve more equitable health outcomes. In cancer centers certified according to the criteria set out by the German Cancer Society, every patient must be given low-threshold access to qualified social workers at the center for in-house social service counseling (SSC). Previous analyses have demonstrated large variation in the utilization of these services across individual centers. Therefore, this research aims at investigating whether SSC utilization varies regarding breast cancer patient characteristics and center characteristics presenting a unique approach of using routine data.MethodsMultilevel modeling was performed using quality assurance data based on 6339 patients treated in 13 certified breast cancer centers in Germany in order to investigate whether SSC utilization varies with patient sex, age, and disease characteristics as well as over time and across centers.ResultsIn the sample, 80.3% of the patients used SSC. SSC use varies substantially between centers for the unadjusted model (ICC=0.24). Use was statistically significantly (P <.001) more likely in women, patients with invasive (in comparison to tumor in situ/ductal carcinoma in situ) diseases (P <.001), patients with both breasts affected (P=.03), patients who received a surgery (P <.001), patients who were diagnosed in 2015 or 2017 compared to 2016 (P <.001) and patients older than 84years as compared to patients between 55 and 64years old (P =.002).ConclusionThe analysis approach allows a unique insight into the reality of cancer care. Sociodemographic and disease-related patient characteristics were identified to explain SSC use to some extent.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DISTRESS; WOMEN; PREVALENCE; WORK; CARE; Psychosocial counseling; Social service counseling; Certification; German Cancer Society; Quality indicators |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Sep 2022 04:12 |
| Last Modified: | 26 Sep 2022 04:12 |
| URI: | https://pred.uni-regensburg.de/id/eprint/47926 |
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