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Supportive Care in Cancer
Published in: Supportive Care in Cancer 3/2021

01-03-2021 | Care | Original Article

Social inequalities in supportive care needs and quality of patient-centered care of cancer patients in Mexico

Authors: Svetlana V. Doubova, Ingrid Patricia Martinez-Vega, Claudia Infante-Castañeda, Carlos E. Aranda-Flores, Felicia M Knaul, Ricardo Pérez-Cuevas

Published in: Supportive Care in Cancer | Issue 3/2021

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Abstract

Purpose

To evaluate educational and health insurance–related inequalities in supportive care (SC) needs and quality of patient-centered care (PCC) for cancer patients in Mexico.

Methods

We conducted a cross-sectional survey in one Mexican Institute of Social Security (IMSS) and one Ministry of Health (MoH) oncology hospital in Mexico City. Formal labor market workers and their families have access to social health insurance that IMSS provides, while unemployed and informal workers receive care at the MoH. The study population comprised breast, colorectal, prostate, and hematologic cancer patients, aged ≥ 18 years, who attended outpatient consultations. Patients responded a short-form SC-needs questionnaire and a quality of PCC questionnaire. We used multiple logistic regression models to determine the independent association between educational attainment and high SC-needs and quality of PCC after controlling for sociodemographic and clinical covariates.

Results

We included 1058 IMSS and 606 MoH cancer patients. MoH patients perceived higher SC-needs and lower quality of PCC than IMSS patients. MoH patients with low education had a greater probability of high psychological and health system SC needs and lower likelihood of being informed for treatment decision-making and care for their biopsychosocial needs. IMSS patients with low educational levels had lower probability of receiving timely care and clarity of information than those with high education. Receiving high-quality PCC was associated with decreased SC needs.

Conclusion

Uninsured cancer patients with low educational attainment have higher SC-needs and receive lower quality of PCC than their counterparts. Health services should face these challenges to reduce inequalities in Mexico.
Appendix
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Metadata
Title
Social inequalities in supportive care needs and quality of patient-centered care of cancer patients in Mexico
Authors
Svetlana V. Doubova
Ingrid Patricia Martinez-Vega
Claudia Infante-Castañeda
Carlos E. Aranda-Flores
Felicia M Knaul
Ricardo Pérez-Cuevas
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Keyword
Care
Published in
Supportive Care in Cancer / Issue 3/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-020-05615-6

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