Variation in coordination of care reported by breast cancer patients according to health literacy

Maria C Mora-Pinzon; Elizabeth A Chrischilles; Robert T Greenlee; Laurel Hoeth; John M Hampton; Maureen A Smith; Bradley D McDowell; Lee G Wilke; Amy Trentham-Dietz

doi:10.1007/s00520-018-4370-3

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Variation in coordination of care reported by breast cancer patients according to health literacy

Journal article

Peer reviewed

Variation in coordination of care reported by breast cancer patients according to health literacy

Maria C Mora-Pinzon, Elizabeth A Chrischilles, Robert T Greenlee, Laurel Hoeth, John M Hampton, Maureen A Smith, Bradley D McDowell, Lee G Wilke and Amy Trentham-Dietz

Supportive care in cancer, Vol.27(3), pp.857-865

03/2019

DOI: 10.1007/s00520-018-4370-3

PMCID: PMC6355372

PMID: 30062586

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Abstract

Health literacy is the ability to perform basic reading and numerical tasks to function in the healthcare environment. The purpose of this study is to describe how health literacy is related to perceived coordination of care reported by breast cancer patients. Data were retrieved from the Patient-Centered Outcomes Research Institute-sponsored "Share Thoughts on Breast Cancer" Study including demographic factors, perceived care coordination and responsiveness of care, and self-reported health literacy obtained from a mailed survey completed by 62% of eligible breast cancer survivors (N = 1221). Multivariable analysis of variance was used to characterize the association between presence of a single healthcare professional that coordinated care ("care coordinator") and perceived care coordination, stratified by health literacy level. Health literacy was classified as low in 24% of patients, medium in 34%, and high in 42%. Women with high health literacy scores were more likely to report non-Hispanic white race/ethnicity, private insurance, higher education and income, and fewer comorbidities (all p < 0.001). The presence of a care coordinator was associated with 17.1% higher perceived care coordination scores among women with low health literacy when compared to those without a care coordinator, whereas a coordinator modestly improved perceived care coordination among breast cancer survivors with medium (6.9%) and high (6.2%) health literacy. The use of a single designated care coordinator may have a strong influence on care coordination in patients with lower levels of health literacy.

Continental Population Groups - ethnology

Humans

Middle Aged

Patient-Centered Care

Self Report

Health Literacy

Income

Cancer Survivors - psychology

Educational Status

Kansas

Health Personnel - statistics & numerical data

Insurance, Health - statistics & numerical data

Breast Neoplasms - therapy

Young Adult

Aged, 80 and over

Adult

Female

Surveys and Questionnaires

Aged

Delivery of Health Care, Integrated - standards

Health Status

Breast Neoplasms - ethnology

Cohort Studies

Patient Reported Outcome Measures

Details

Title: Subtitle: Variation in coordination of care reported by breast cancer patients according to health literacy
Creators: Maria C Mora-Pinzon - School of Medicine and Public Health, University of Wisconsin - Madison, Madison, WI, USA
Elizabeth A Chrischilles - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
Robert T Greenlee - Center for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USA
Laurel Hoeth - Patient Advocate, Gray, ME, USA
John M Hampton - Carbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USA
Maureen A Smith - Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53726, USA
Bradley D McDowell - Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA
Lee G Wilke - Carbone Cancer Center and Department of Surgery, University of Wisconsin - Madison, Madison, WI, USA
Amy Trentham-Dietz - Carbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin - Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USA. trentham@wisc.edu
Resource Type: Journal article
Publication Details: Supportive care in cancer, Vol.27(3), pp.857-865
DOI: 10.1007/s00520-018-4370-3
PMID: 30062586
PMCID: PMC6355372
NLM abbreviation: Support Care Cancer
ISSN: 1433-7339
eISSN: 1433-7339
Publisher: Germany
Grant note: P30 CA086862 / NIH HHS UL1 TR002537 / NCATS NIH HHS CDRN-1306-04631 / Patient-Centered Outcomes Research Institute P30 CA014520 / NCI NIH HHS UL1 TR000427 / NCATS NIH HHS UL1TR000427 / NIH HHS P30CA014520 / NIH HHS P30 CA086862 / NCI NIH HHS UL1 TR002373 / NCATS NIH HHS
Language: English
Date published: 03/2019
Academic Unit: Pharmacy; Epidemiology; Holden Comprehensive Cancer Center
Record Identifier: 9983995042502771

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