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Factor Analysis of Health Care Access With Ovarian Cancer Surgery and Gynecologic Oncologist Consultation

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Key Points Question Are health care affordability, availability, and accessibility associated with racial and ethnic disparities in consulting a gynecologic oncologist and receiving surgery for ovarian cancer? Findings In this… Click to show full abstract

Key Points Question Are health care affordability, availability, and accessibility associated with racial and ethnic disparities in consulting a gynecologic oncologist and receiving surgery for ovarian cancer? Findings In this cohort study of 8987 patients, health care availability and affordability scores were associated with gynecologic oncologist consultation, while affordability scores were associated with surgery receipt. However, non-Hispanic Black patients were less likely than non-Hispanic White patients to consult a gynecologic oncologist and have surgery even after adjusting for these health care access factors. Meaning These findings suggest that affordability and availability were significantly associated with indicators of guideline-adherent care but did not fully explain disparities.

Keywords: gynecologic oncologist; surgery; ovarian cancer; care; health care

Journal Title: JAMA Network Open
Year Published: 2023

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