Evidence map›Paper›PMID 25394821›Full record

ArticleHealth education & behavior : the official publication of the Society for Public Health Education2015

Finding medical care for colorectal cancer symptoms: experiences among those facing financial barriers.

Maria D Thomson, Laura A Siminoff

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Health education & behavior : the official publication of the Society for Public Health Education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Maria D ThomsonVirginia Commonwealth University, Richmond, USA mthomson2@vcu.edu.
Laura A SiminoffTemple University, Philadelphia, PA, USA.
Temple University · USVirginia Commonwealth University · US

Funding

Appraisal and Diagnostic Delay in Colon CancerR01CA124607 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI THOMSON, MARIA D. · 2008 to 2012
$3.8M
Training Program in Behavioral and Health Services Cancer Control ResearchR25CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RICHARD FREDERICK · 2002 to 2015
$2.9M
Appraisal Delay and Disparities in Timely Cancer DiagnosisR01CA134280 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SIMINOFF, LAURA A. · 2008 to 2010
$1.4M
NCI NIH HHS R01 CA124607NCI NIH HHS R01 CA134280NCI NIH HHS R25 CA093423
6 · The paper itself

Abstract

Financial barriers can substantially delay medical care seeking. Using patient narratives provided by 252 colorectal cancer patients, we explored the experience of financial barriers to care seeking. Of the 252 patients interviewed, 84 identified financial barriers as a significant hurdle to obtaining health care for their colorectal cancer symptoms. Using verbatim transcripts of the narratives collected from patients between 2008 and 2010, three themes were identified: insurance status as a barrier (discussed by n = 84; 100% of subsample), finding medical care (discussed by n = 30; 36% of subsample) and, insurance companies as barriers (discussed by n = 7; 8% of subsample). Our analysis revealed that insurance status is more nuanced than the categories insured/uninsured and differentially affects how patients attempt to secure health care. While barriers to medical care for the uninsured have been well documented, the experiences of those who are underinsured are less well understood. To improve outcomes in these patients it is critical to understand how financial barriers to medical care are manifested. Even with anticipated changes of the Affordable Care Act, it remains important to understand how perceived financial barriers may be influencing patient behaviors, particularly those who have limited health care options due to insufficient health insurance coverage.

Indexed as

Health Services AccessibilityInsurance CoverageInsurance, HealthAcademic Medical CentersAdultAgedColorectal NeoplasmsCommunity Health CentersDelayed DiagnosisFemaleHumansInterviews as TopicMaleMedically UninsuredMedical RecordsMiddle Agedbarriers to carecare seekingcolorectal cancerinsurance

Identifiers

PMID25394821
PMCPMC4604569
OpenAlexW2168488753

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.