Is medical home enrollment associated with receipt of guideline-concordant follow-up care among low-income breast cancer survivors?

ABSTRACT:

Background

Community Care of North Carolina (CCNC) initiated an innovative medical home program in the 1990 s to improve primary care in Medicaid-insured populations. CCNC has been successful in improving asthma, diabetes, and cardiovascular outcomes but has not been evaluated in the context of cancer care. We explored whether CCNC enrollment was associated with guideline-concordant follow-up care among breast cancer survivors.

Methods

Using state cancer registry records matched to Medicaid claims, we identified women 18 to 64 years old who were diagnosed with stage 0, I, II, or unstaged breast cancer from 2003 to 2007 and tracked their monthly CCNC enrollment. Using published American Society for Clinical Oncology guidelines to define our outcomes, we employed multivariate

SUBMITTER: Wheeler SB 

PROVIDER: S-EPMC6067673 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature