Trusted Resources: Evidence & Education
Scientific literature and patient education texts
Health Care Disparities Among Adolescents and Adults With Sickle Cell Disease: A Community-Based Needs Assessment to Inform Intervention Strategies
source: Journal of Clinical Outcomes Management
year: 2020
authors: Marsha J. Treadwell, Eufemia Jacob, Danielle Hessler, Alex Francis Chen, Yumei Chen, Swapandeep Mushiana, Michael B. Potter, Elliott Vichinsky
summary/abstract:Objective:
Adolescents and adults with sickle cell disease (SCD) face pervasive disparities in health resources and outcomes. We explored barriers to and facilitators of care to identify opportunities to support implementation of evidence-based interventions aimed at improving care quality for patients with SCD.
Methods:
We engaged a representative sample of adolescents and adults with SCD (n = 58), health care providers (n = 51), and community stakeholders (health care administrators and community-based organization leads (n = 5) in Northern California in a community-based needs assessment. We conducted group interviews separately with participant groups to obtain in-depth perspectives. Adolescents and adults with SCD completed validated measures of pain interference, quality of care, self-efficacy, and barriers to care. Providers and community stakeholders completed surveys about barriers to SCD care.
Conclusion:
Strategies for improving access to compassionate, evidence-based quality care, as well as strategies for minimizing the burden of having SCD, are warranted for this medically complex population.
DOI: 10.12788/jcom.0019
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