Barriers to Academic Centers for Hispanic Breast Cancer Population

Commentary
Video

The goal of creating the Hispanic Breast Cancer Clinic at Northwestern Memorial Hospital is to establish a safe space for Hispanic patients, says Claudia Tellez, MD.

Several barriers may prevent Hispanic patients with breast cancer from receiving optimal care at academic institutions such as Northwestern Memorial Hospital, including transportation costs, concerns around language barriers, and navigating a large facility, according to Claudia Tellez, MD.

In an interview with CancerNetwork®, Tellez, a medical oncologist at Robert H. Lurie Comprehensive Cancer Center, Northwestern Memorial Hospital, discussed how her institution sought to create a better space for patients by launching the Hispanic Breast Cancer Clinic at Northwestern Hospital. All faculty working at the clinic are Spanish speakers who place an emphasis on determining patient concerns prior to coming to the clinic. This work is being done with the goal of ensuring that patients have a positive experience, Tellez says.

Transcript:

One of the biggest barriers to having patients come to a place like Northwestern has to do with the fact that patients are really scared to come to a big academic center not knowing if anyone is going to be able to speak their language. [It's] the thought of having an overwhelming diagnosis, going to a very scary place, being fearful of even paying for the parking, not really knowing how you're going to navigate the hallways, and not knowing if you're going to encounter anybody warm and courteous [who will] work with you.

One of the things that we wanted to do was to have the entire time in the clinic be a safe space for the patients. All the people in the clinic are Spanish speakers. We're trying to even communicate with the patients ahead of time to identify what their concerns and their worries are and to address some of the issues that might be a problem for that specific patient. That might be, again, a concern about parking, maybe a concern about paying for a ride; [we want] to try and address those issues to just facilitate and create a better experience for the patients.

Reference

Lurie Cancer Center Hispanic Breast Cancer Clinic at Northwestern Memorial Hospital. Robert H. Lurie Comprehensive Cancer Center of Northwestern University. Accessed November 6, 2023. https://bit.ly/45Vm0kx

Related Videos
Collaboration among nurses, social workers, and others may help in safely administering outpatient bispecific T-cell engager therapy to patients.
Immunotherapy may be an “elegant” method of managing colorectal cancer, says Gregory Charak, MD.
D. Ross Camidge, MD, PhD, spoke about how the approval of alectinib is the beginning of multiple other approvals for patients with ALK-positive NSCLC.
Nurses should be educated on cranial nerve impairment that may affect those with multiple myeloma who receive cilta-cel, says Leslie Bennett, MSN, RN.
Treatment with cilta-cel may give patients with multiple myeloma “more time,” according to Ishmael Applewhite, BSN, RN-BC, OCN.
Nurses may need to help patients with multiple myeloma adjust to walking differently in the event of peripheral neuropathy following cilta-cel.
Administering neoadjuvant therapy to patients with colorectal cancer may help surgical oncologists attain a negative-margin resection.
Increasing screening for younger individuals who are at risk of colorectal cancer may help mitigate the rising early incidence of this disease.
Laparoscopy may reduce the degree of pain or length of hospital stay compared with open surgery for patients with colorectal cancer.
The use of proton therapy may offer a more specific depth charge compared with conventional radiation, according to Timothy Chen, MD.