ONCOLOGY.
No. 4
The Raghavan Article Reviewed
Health-Care Disparities, Civil Rights, and Human Rights
By
OTIS W. BRAWLEY, MD
Medical Director
Georgia Cancer Center for Excellence
Deputy Director, Winship Cancer Institute-Emory University
Professor of Hematology, Oncology, and Medicine
Emory University School of Medicine
Atlanta, Georgia
|
April 1, 2007
Physicians, health-care providers, and researchers must also ask, "Are we posing the right scientific questions?" Important questions for health-care researchers include:
• What are the elements of poverty that influence the experience of the cancer patient and influence cancer biology?
• How can we provide adequate high-quality care (to include preventive care) to those who so often have not received it?
The solutions are the responsibility of society as a whole to address and not just the medical community. They include educational efforts concerning diet, exercise, and other healthful behaviors.
Over the past decade, we have made tremendous strides in realizing and defining the problem of disparities in health care. It is an unsettling and embarrassing truth that we as a society have made only meager efforts to solve the problem. While disparities in health care are a civil rights issue, the ready availability of adequate health care is a human right.
Otis W. Brawley, MD
1. Ries LAG, Harkins D, Krapcho M, et al: SEER Cancer Statistics Review, 1975-2003. Bethesda, Md; National Cancer Institute; 2005. Available at http://seer.cancer.gov/csr/1975-2003. Accessed March 6, 2007.
2. Shavers VL, Brown ML: Racial and ethnic disparities in the receipt of cancer treatment. J Natl Cancer Inst 94:334-357, 2002
3. Singh GK, Miller BA, Hankey BF, et al: Area Socioeconomic Variations in U.S. Cancer Incidence, Mortality, Stage, Treatment, and Survival, 1975-1999. NCI Cancer Surveillance Monograph Series, no. 4. NIH Publication no. 03-5417. Bethesda, Md; National Cancer Institute; 2006.
4. Brawley OW: Population categorization and cancer statistics. Cancer Metastasis Rev 22:11-19, 2003.
5. Bach PB, Schrag D, Brawley OW, et al: Survival of blacks and whites after a cancer diagnosis. JAMA 287:2106-2113, 2002.
6. Swan J, Breen N, Coates RJ, et al: Progress in cancer screening practices in the United States: Results from the 2000 National Health Interview Survey. Cancer 97:1528-1540, 2003.
7. Bach PB, Pham HH, Schrag D, et al: Primary care physicians who treat blacks and whites. N Engl J Med 351:575-584, 2004.
8. Thomson CS, Hole DJ, Twelves CJ, et al: Prognostic factors in women with breast cancer: Distribution by socioeconomic status and effect on differences in survival. J Epidemiol Community Health 55:308-315, 2001.
9. Gordon NH: Association of education and income with estrogen receptor status in primary breast cancer. Am J Epidemiol 142:796-803, 1995.