Evidence map›Paper›PMID 28858696›Full record

ArticleSocial science & medicine (1982)2017

Social support, flexible resources, and health care navigation.

Elizabeth A Gage-Bouchard

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Trial
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  14. Phenotype Discovery and Geographic Disparities of Late-Stage Breast Cancer Diagnosis across U.S. Counties: A Machine Learning Approach.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
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  20. Social Determinants of Health and Cancer Survivorship.Journal of environment and health sciences · 2021
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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

1 author.

Elizabeth A Gage-BouchardRoswell Park Cancer Institute, Department of Cancer Prevention and Control, Elm & Carlton Streets, Buffalo, NY 14263, United States. Electronic address: Elizabeth.bouchard@roswellpark.org.

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Christine B. Ambrosone · 1985 to 2026
$116.6M
University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
Epidemiologic and Basic Science in Cancer PreventionR25CA114101 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARSHALL, JAMES · 2006 to 2010
$2.3M
SES, Race, and Patterns of Health Care Navigation of Parents of Pediatric CancerR21CA141165 · NCI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI BOUCHARD, ELIZABETH · 2009 to 2010
$292k
NCATS NIH HHS UL1 TR001412NCI NIH HHS P30 CA016056NCI NIH HHS R21 CA141165NCI NIH HHS R25 CA114101
6 · The paper itself

Abstract

Recent research has focused attention on the role of patients' and clinicians' cultural skills and values in generating inequalities in health care experiences. Yet, examination of how social structural factors shape people's abilities to build, refine, and leverage strategies for navigating the health care system have received less attention. In this paper I place focus on one such social structural factor, social support, and examine how social support operates as a flexible resource that helps people navigate the health care system. Using the case of families navigating pediatric cancer care this study combines in-depth interviews with parents of pediatric cancer patients (N = 80), direct observation of clinical interactions between families and physicians (N = 73), and in-depth interviews with pediatric oncologists (N = 8). Findings show that physicians assess parental visibility in the hospital, medical vigilance, and adherence to their child's treatment and use these judgments to shape clinical decision-making. Parents who had help from their personal networks had more agility in balancing competing demands, and this allowed parents to more effectively meet institutional expectations for appropriate parental involvement in the child's health care. In this way, social support served as a flexible resource for some families that allowed parents to more quickly adapt to the demands of caring for a child with cancer, foster productive interpersonal relationships with health care providers, and play a more active role in their child's health care.

Indexed as

Social SupportAdultFemaleHealth ResourcesHumansInterpersonal RelationsMaleParentsPatient NavigationStress, PsychologicalCultureHealth communicationPatient-provider interactionsSocial supportUnited States

Identifiers

PMID28858696
PMCPMC5607112

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Registered trials

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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.