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Supportive Care in Cancer
Published in: Supportive Care in Cancer 6/2016

01-06-2016 | Original Article

Satisfaction with cancer care among American Indian and Alaska Natives in Oregon and Washington State: a qualitative study of survivor and caregiver perspectives

Authors: Sarah Hohl, Yamile Molina, Lisel Koepl, Kerri Lopez, Eric Vinson, Hannah Linden, Scott Ramsey

Published in: Supportive Care in Cancer | Issue 6/2016

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Abstract

Purpose

To better understand satisfaction with care among American Indian and Alaska Native (AI/AN) persons with cancer, we explored dimensions of the provider relationship that contributed to satisfaction among caregivers and survivors who received cancer treatment in Oregon and Washington State.

Methods

Between November 2011 and April 2013, the project team interviewed 11 caregivers and 71 AI/AN cancer survivors residing in Oregon and Washington State. Interview questions aimed to elicit participant experiences with care providers and factors associated with cancer care satisfaction. Interviews were analyzed using an inductive content analysis approach in which concepts were identified and themes derived from interview data.

Results

Three overarching themes, each with two sub-themes, emerged from the data: (1) universal factors: bolstering understanding, involvement, and empathy in care; (2) minority-specific factors: incorporating culture and community into care; and (3) AI/AN-unique factors: interacting with Indian health clinics and Indian Health Service (IHS).

Conclusions

The results of our study suggest that satisfaction with care among survivors and their caregivers must be examined within the context of culture and community, particularly among minority patients. Our study demonstrates providers’ critical role in ensuring AI/AN patients emerge satisfied with cancer treatment by honoring their AI/AN-specific needs, such as respect for integration of traditional healing modalities and navigation of specialty care coordination.
Literature
1.
National Center for Health Statistics (2012) Health, United States, 2011: with special feature on socioeconomic status and health
2.
Reuben SH (2003) Facing cancer in Indian country: the Yakama Nation and Pacific Northwest Tribes: President’s Cancer Panel 2002 Annual Report., US Department of Health and Human Services, National Institutes of Health, National Cancer Institute
3.
Puukka E, Stehr-Green P, Becker TM (2005) Measuring the health status gap for American Indians/Alaska Natives: getting closer to the truth. American journal of public health 95:838CrossRefPubMedPubMedCentral
4.
Kaur JS, Hampton JW (2008) Cancer in American Indian and Alaska Native populations continues to threaten an aging population. Cancer 113:1117–1119CrossRefPubMed
5.
Wiggins CL, Espey DK, Wingo PA, Kaur JS, Wilson RT, Swan J et al (2008) Cancer among American Indians and Alaska Natives in the United States, 1999–2004. Cancer 113:1142–1152CrossRefPubMed
6.
White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Kaur JS (2014) Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States. American journal of public health 104:S377–S387CrossRefPubMedPubMedCentral
7.
J. J. Guidry, A. Greisinger, L. A. Aday, R. J. Winn, S. Vernon, and T. A. Throckmorton, "Barriers to cancer treatment: a review of published research," in Oncology nursing forum, 1996, pp. 1393–1398.
8.
S. H. Javid, T. K. Varghese, A. M. Morris, M. P. Porter, H. He, D. Buchwald, et al., "Guideline-concordant cancer care and survival among American Indian/Alaskan Native patients," Cancer, 2014
9.
Garroutte EM, Kunovich RM, Jacobsen C, Goldberg J (2004) Patient satisfaction and ethnic identity among American Indian older adults. Social Science & Medicine 59:2233–2244CrossRef
10.
Guadagnolo BA, Cina K, Helbig P, Molloy K, Reiner M, Cook EF et al (2009) Medical mistrust and less satisfaction with health care among Native Americans presenting for cancer treatment. J Health Care Poor Underserved 20:210CrossRefPubMedPubMedCentral
11.
Barbosa CD, Balp M-M, Kulich K, Germain N, Rofail D (2012) A literature review to explore the link between treatment satisfaction and adherence, compliance, and persistence. Patient Prefer Adherence 6:39–48CrossRefPubMedPubMedCentral
12.
Brédart A, Bouleuc C, Dolbeault S (2005) Doctor-patient communication and satisfaction with care in oncology. Current opinion in oncology 17:351–354CrossRefPubMed
13.
Stewart MA (1995) Effective physician-patient communication and health outcomes: a review. CMAJ: Canadian Medical Association Journal 152:1423PubMedPubMedCentral
14.
R. Royak-Schaler, S. R. Passmore, S. Gadalla, M. K. Hoy, M. Zhan, K. Tkaczuk, et al., "Exploring patient-physician communication in breast cancer care for African American women following primary treatment," in Oncology nursing forum, 2008, pp. 836–843.
15.
Thorne SE, Bultz BD, Baile WF (2005) Is there a cost to poor communication in cancer care?: a critical review of the literature. Psycho‐Oncology 14:875–884CrossRefPubMed
16.
Mead EL, Doorenbos AZ, Javid SH, Haozous EA, Alvord LA, Flum DR et al (2013) Shared decision-making for cancer care among racial and ethnic minorities: a systematic review. American journal of public health 103:e15–e29CrossRefPubMedPubMedCentral
17.
Vogel O, Cowens-Alvarado R, Eschiti V, Samos M, Wiener D, Ohlander K et al (2013) Circle of life cancer education: giving voice to American Indian and Alaska Native communities. Journal of Cancer Education 28:565–572CrossRefPubMed
18.
Warne D, Frizzell LB (2014) American Indian health policy: historical trends and contemporary issues. American journal of public health 104:S263–S267CrossRefPubMedPubMedCentral
19.
Mack N, Woodsong C, MacQueen KM, Guest G, Namey E (2005) Qualitative research methods: a data collectors field guide
20.
J. Corbin and A. Strauss, Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage Publications, Incorporated, 2007
21.
LaFrance J (2004) Culturally competent evaluation in Indian country. New Directions for Evaluation 2004:39–50CrossRef
22.
23.
Noe TD, Manson SM, Croy C, McGough H, Henderson JA, Buchwald DS (2006) The influence of community-based participatory research principles on the likelihood of participation in health research in American Indian communities. Ethnicity & Disease 17:S6–14
24.
Burhansstipanov L, Schumacher SCSA (2005) Lessons learned from community-based participatory research in Indian country. Cancer control: journal of the Moffitt Cancer Center 12:70
25.
Hsieh H-F, Shannon SE (2005) Three approaches to qualitative content analysis. Qualitative health research 15:1277–1288CrossRefPubMed
26.
Booth A, Carroll C, Ilott I, Low LL, Cooper K (2013) Desperately seeking dissonance: identifying the disconfirming case in qualitative evidence synthesis. Qual Health Res 23:126–41CrossRefPubMed
27.
28.
Schim SM, Doorenbos AZ (2010) A three-dimensional model of cultural congruence: framework for intervention. Journal of social work in end-of-life & palliative care 6:256–270CrossRef
29.
Guadagnoli E, Ward P (1998) Patient participation in decision-making. Social science & medicine 47:329–339CrossRef
30.
Guadagnolo BA, Boylan A, Sargent M, Koop D, Brunette D, Kanekar S et al (2011) Patient navigation for American Indians undergoing cancer treatment. Cancer 117:2754–2761CrossRefPubMedPubMedCentral
31.
L. U. Krebs, L. Burhansstipanov, S. Watanabe-Galloway, N. L. Pingatore, D. G. Petereit, and D. Isham, "Navigation as an intervention to eliminate disparities in American Indian communities," in Seminars in oncology nursing, 2013, pp. 118–127.
32.
33.
Burhansstipanov L, Krebs LU, Watanabe-Galloway S, Petereit DG, Pingatore NL, Eschiti V (2012) Preliminary lessons learned from the “Native Navigators and the Cancer Continuum” (NNACC). Journal of cancer education 27:57–65CrossRef
34.
Goldberg S, Wallace J, Jackson J, Chaulk C, Nolan C (2004) Cultural case management of latent tuberculosis infection. The International Journal of Tuberculosis and Lung Disease 8:76–82PubMed
35.
Warren-Mears V, Dankovchik J, Patil M, Fu R (2013) Impact of patient navigation on cancer diagnostic resolution among Northwest Tribal communities. Journal of Cancer Education 28:109–118CrossRefPubMedPubMedCentral
36.
37.
Scheppers E, Van Dongen E, Dekker J, Geertzen J, Dekker J (2006) Potential barriers to the use of health services among ethnic minorities: a review. Family Practice 23:325–348CrossRefPubMed
38.
Warne D, Kaur J, Perdue D (2012) American Indian/Alaska Native cancer policy: systemic approaches to reducing cancer disparities. Journal of cancer education 27:18–23CrossRef
Metadata
Title
Satisfaction with cancer care among American Indian and Alaska Natives in Oregon and Washington State: a qualitative study of survivor and caregiver perspectives
Authors
Sarah Hohl
Yamile Molina
Lisel Koepl
Kerri Lopez
Eric Vinson
Hannah Linden
Scott Ramsey
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 6/2016
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-015-3041-x

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