RNQualitativePatient education and counseling2022

Understanding racial-ethnic differences in patient-centered care (PCC) in oncology through a critical race theory lens: A qualitative comparison of PCC among Black, Hispanic, and White cancer patients.

Kerri-Anne R Mitchell, Kelly J Brassil, Margaret L Osborne and 2 others

PMID 34857428

WHAT IT FOUND

Black and Hispanic cancer patients described work, family burden, and feeling cared for as care concerns.

White patients described research participation and preventive treatment. Ask about these separately rather than assuming one profile.

Key findings

01Black and Hispanic participants described work responsibilities and fear of becoming a family burden as shaping treatment decisions or delays.

02Research participation and additional preventive treatment preferences emerged among White participants and not among Black or Hispanic participants in this sample.

03Black and Hispanic participants gave more detail about feeling cared for affecting care and other life aspects, and not feeling cared for contributing to distress.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small and came from one large academic cancer center, so it may not apply to other settings or patients. Most Hispanic and Black participants had private insurance and began care outside the study hospital's catchment area. The original study did not ask how patients thought their race or ethnicity affected their care, so the analysis may miss richer accounts. Group sizes and participant backgrounds were not equal, which may have affected what differences were seen. The White group was selected to parallel gender and age, but all Hispanic and Black participants were included, so group composition was not fully matched. One researcher could not be blinded to race or ethnicity because she conducted interviews.

Declared interests

The authors declared no competing financial interests or personal relationships. Research support is listed as NIH extramural and non-U.S. government.

The easy way to misread this

Do not read these themes as universal or as proof of provider discrimination. The study describes perceptions from a small purposive sample at one cancer center, and it did not test effects.

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The study

Participants
5 Hispanic, 4 Black, and 6 White cancer patients included in this analysis; initial interview sample was 29.
Certainty of evidence
Very low

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Cite

Kerri-Anne R Mitchell, Kelly J Brassil, Margaret L Osborne, et al. Understanding racial-ethnic differences in patient-centered care (PCC) in oncology through a critical race theory lens: A qualitative comparison of PCC among Black, Hispanic, and White cancer patients. Patient education and counseling. 2022.

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