Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers.
BACKGROUND: Little is known about the constraints of optimizing health care for prostate cancer survivors in Alaska primary care. OBJECTIVE: To describe the experiences and attitudes of primary care providers within the Alaska Tribal Health System (ATHS) regarding the care of prostate cancer survivo...
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Online Access: | https://hdl.handle.net/10161/9379 http://www.ncbi.nlm.nih.gov/pubmed/24596707 |
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ftdukeunivdsp:oai:localhost:10161/9379 2023-11-12T04:15:53+01:00 Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. Tilburt, Jon C Kelley, Stacy DeCourtney, Christine A Humeniuk, Katherine M Latini, Jerilyn Kim, Simon P United States 2014 application/pdf https://hdl.handle.net/10161/9379 http://www.ncbi.nlm.nih.gov/pubmed/24596707 eng eng Informa UK Limited Int J Circumpolar Health 10.3402/ijch.v73.23637 http://www.ncbi.nlm.nih.gov/pubmed/24596707 23637 https://hdl.handle.net/10161/9379 2242-3982 Alaska Native cancer survivorship prostate cancer Aged Alaska Continuity of Patient Care Delivery of Health Care Health Care Surveys Humans Logistic Models Male Middle Aged Outcome Assessment (Health Care) Pilot Projects Population Groups Primary Health Care Program Evaluation Prostatic Neoplasms Risk Assessment Surveys and Questionnaires Survivors Journal article 2014 ftdukeunivdsp 2023-10-17T09:39:08Z BACKGROUND: Little is known about the constraints of optimizing health care for prostate cancer survivors in Alaska primary care. OBJECTIVE: To describe the experiences and attitudes of primary care providers within the Alaska Tribal Health System (ATHS) regarding the care of prostate cancer survivors. DESIGN: In late October 2011, we emailed a 22-item electronic survey to 268 ATHS primary care providers regarding the frequency of Prostate Specific Antigen (PSA) monitoring for a hypothetical prostate cancer survivor; who should be responsible for the patient's life-long prostate cancer surveillance; who should support the patient's emotional and medical needs as a survivor; and providers' level of comfort addressing recurrence monitoring, erectile dysfunction, urinary incontinence, androgen deprivation therapy, and emotional needs. We used simple logistic regression to examine the association between provider characteristics and their responses to the survivorship survey items. RESULTS: Of 221 individuals who were successfully contacted, a total of 114 responded (52% response rate). Most ATHS providers indicated they would order a PSA test every 12 months (69%) and believed that, ideally, the hypothetical patient's primary care provider should be responsible for his life-long prostate cancer surveillance (60%). Most providers reported feeling either "moderately" or "very" comfortable addressing topics such as prostate cancer recurrence (59%), erectile dysfunction (64%), urinary incontinence (63%), and emotional needs (61%) with prostate cancer survivors. These results varied somewhat by provider characteristics including female sex, years in practice, and the number of prostate cancer survivors seen in their practice. CONCLUSIONS: These data suggest that most primary care providers in Alaska are poised to assume the care of prostate cancer survivors locally. However, we also found that large minorities of providers do not feel confident in their ability to manage common issues in prostate cancer survivorship, ... Article in Journal/Newspaper Circumpolar Health Alaska Duke University Libraries: DukeSpace |
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Open Polar |
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Duke University Libraries: DukeSpace |
op_collection_id |
ftdukeunivdsp |
language |
English |
topic |
Alaska Native cancer survivorship prostate cancer Aged Alaska Continuity of Patient Care Delivery of Health Care Health Care Surveys Humans Logistic Models Male Middle Aged Outcome Assessment (Health Care) Pilot Projects Population Groups Primary Health Care Program Evaluation Prostatic Neoplasms Risk Assessment Surveys and Questionnaires Survivors |
spellingShingle |
Alaska Native cancer survivorship prostate cancer Aged Alaska Continuity of Patient Care Delivery of Health Care Health Care Surveys Humans Logistic Models Male Middle Aged Outcome Assessment (Health Care) Pilot Projects Population Groups Primary Health Care Program Evaluation Prostatic Neoplasms Risk Assessment Surveys and Questionnaires Survivors Tilburt, Jon C Kelley, Stacy DeCourtney, Christine A Humeniuk, Katherine M Latini, Jerilyn Kim, Simon P Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
topic_facet |
Alaska Native cancer survivorship prostate cancer Aged Alaska Continuity of Patient Care Delivery of Health Care Health Care Surveys Humans Logistic Models Male Middle Aged Outcome Assessment (Health Care) Pilot Projects Population Groups Primary Health Care Program Evaluation Prostatic Neoplasms Risk Assessment Surveys and Questionnaires Survivors |
description |
BACKGROUND: Little is known about the constraints of optimizing health care for prostate cancer survivors in Alaska primary care. OBJECTIVE: To describe the experiences and attitudes of primary care providers within the Alaska Tribal Health System (ATHS) regarding the care of prostate cancer survivors. DESIGN: In late October 2011, we emailed a 22-item electronic survey to 268 ATHS primary care providers regarding the frequency of Prostate Specific Antigen (PSA) monitoring for a hypothetical prostate cancer survivor; who should be responsible for the patient's life-long prostate cancer surveillance; who should support the patient's emotional and medical needs as a survivor; and providers' level of comfort addressing recurrence monitoring, erectile dysfunction, urinary incontinence, androgen deprivation therapy, and emotional needs. We used simple logistic regression to examine the association between provider characteristics and their responses to the survivorship survey items. RESULTS: Of 221 individuals who were successfully contacted, a total of 114 responded (52% response rate). Most ATHS providers indicated they would order a PSA test every 12 months (69%) and believed that, ideally, the hypothetical patient's primary care provider should be responsible for his life-long prostate cancer surveillance (60%). Most providers reported feeling either "moderately" or "very" comfortable addressing topics such as prostate cancer recurrence (59%), erectile dysfunction (64%), urinary incontinence (63%), and emotional needs (61%) with prostate cancer survivors. These results varied somewhat by provider characteristics including female sex, years in practice, and the number of prostate cancer survivors seen in their practice. CONCLUSIONS: These data suggest that most primary care providers in Alaska are poised to assume the care of prostate cancer survivors locally. However, we also found that large minorities of providers do not feel confident in their ability to manage common issues in prostate cancer survivorship, ... |
format |
Article in Journal/Newspaper |
author |
Tilburt, Jon C Kelley, Stacy DeCourtney, Christine A Humeniuk, Katherine M Latini, Jerilyn Kim, Simon P |
author_facet |
Tilburt, Jon C Kelley, Stacy DeCourtney, Christine A Humeniuk, Katherine M Latini, Jerilyn Kim, Simon P |
author_sort |
Tilburt, Jon C |
title |
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
title_short |
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
title_full |
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
title_fullStr |
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
title_full_unstemmed |
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers. |
title_sort |
caring for alaska native prostate cancer survivors in primary care: a survey of alaska tribal health system providers. |
publisher |
Informa UK Limited |
publishDate |
2014 |
url |
https://hdl.handle.net/10161/9379 http://www.ncbi.nlm.nih.gov/pubmed/24596707 |
op_coverage |
United States |
genre |
Circumpolar Health Alaska |
genre_facet |
Circumpolar Health Alaska |
op_relation |
Int J Circumpolar Health 10.3402/ijch.v73.23637 http://www.ncbi.nlm.nih.gov/pubmed/24596707 23637 https://hdl.handle.net/10161/9379 2242-3982 |
_version_ |
1782333134556102656 |