The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States
The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services ch...
Gespeichert in:
| Veröffentlicht in: | The Journal of rural health 2023-09, Vol.39 (4), p.765-771 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 771 |
|---|---|
| container_issue | 4 |
| container_start_page | 765 |
| container_title | The Journal of rural health |
| container_volume | 39 |
| creator | Zahnd, Whitney E Silverman, Allie F Self, Stella Hung, Peiyin Natafgi, Nabil Adams, Swann Arp Merrell, Melinda A Owens, Otis L Crouch, Elizabeth L Eberth, Jan M |
| description | The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services changed pre- and peri-pandemic overall and by RHC type (independent and provider-based).
We administered a cross-sectional survey to a stratified random sample of RHCs to assess clinic characteristics, pandemic stressors, and the provision of cancer prevention and control services among RHCs pre- and peri-pandemic. We used McNemar's test and Wilcoxon signed rank tests to assess differences in the provision of cancer prevention and screening services pre- and peri-pandemic by RHC type.
Of the 153 responding RHCs (response rate of 8%), 93 (60.8%) were provider-based and 60 (39.2%) were independent. Both RHC types were similar in their experience of pandemic stressors, though a higher proportion of independent RHCs reported financial concerns and challenges obtaining personal protective equipment. Both types of RHCs provided fewer cancer prevention and screening services peri-pandemic-5.8 to 4.2 for provider-based and 5.3 to 3.5 for independent (P |
| doi_str_mv | 10.1111/jrh.12753 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2783491391</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2783491391</sourcerecordid><originalsourceid>FETCH-LOGICAL-c273t-4bceef218f338f41861b4a710e4fa63558dfa17e0c10f9a82fdce92f76d1ffb73</originalsourceid><addsrcrecordid>eNpdUU1v3CAURFWiZrPpoX-gQsqhycEJGBvwsdo2H9JKOWS36s3C-NFlZWMX8Er5O_mlIbtpDkFPPGmYN2_EIPSVkiuazvXWb65oLkr2Cc2oKGRGGKdHaEZkRTLByz8n6DSELSF5JVnxGZ0wLnlVMDJDz6sN4MXD7_ufGa3wqFwLvdXY9qPSEQ8O24SMkC4XcXrFox92tgWfNSpAi_3kVYc3oLq4wbqzzurwHQ8jeBXt4MJ-RiunwadR2CWZBO_RoD2As-7vQTPY_TYck6G1szGJP0YVIZyhY6O6AF_e-hytb36tFnfZ8uH2fvFjmelcsJgVjQYwOZWGMWkKKjltCiUogcIozspStkZRAURTYiolc9NqqHIjeEuNaQSbo4uDbrLzb4IQ694GDV2nHAxTqHORPq-iLNUcnX-gbofJu-SuziXnhJW0KBPr8sDSfgjBg6lHb3vln2pK6tfg6hRcvQ8ucb-9KU5ND-07839S7AVclZXk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2866035145</pqid></control><display><type>article</type><title>The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library Journals Frontfile Complete</source><source>PAIS Index</source><creator>Zahnd, Whitney E ; Silverman, Allie F ; Self, Stella ; Hung, Peiyin ; Natafgi, Nabil ; Adams, Swann Arp ; Merrell, Melinda A ; Owens, Otis L ; Crouch, Elizabeth L ; Eberth, Jan M</creator><creatorcontrib>Zahnd, Whitney E ; Silverman, Allie F ; Self, Stella ; Hung, Peiyin ; Natafgi, Nabil ; Adams, Swann Arp ; Merrell, Melinda A ; Owens, Otis L ; Crouch, Elizabeth L ; Eberth, Jan M</creatorcontrib><description>The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services changed pre- and peri-pandemic overall and by RHC type (independent and provider-based).
We administered a cross-sectional survey to a stratified random sample of RHCs to assess clinic characteristics, pandemic stressors, and the provision of cancer prevention and control services among RHCs pre- and peri-pandemic. We used McNemar's test and Wilcoxon signed rank tests to assess differences in the provision of cancer prevention and screening services pre- and peri-pandemic by RHC type.
Of the 153 responding RHCs (response rate of 8%), 93 (60.8%) were provider-based and 60 (39.2%) were independent. Both RHC types were similar in their experience of pandemic stressors, though a higher proportion of independent RHCs reported financial concerns and challenges obtaining personal protective equipment. Both types of RHCs provided fewer cancer prevention and screening services peri-pandemic-5.8 to 4.2 for provider-based and 5.3 to 3.5 for independent (P<.05 for both). Across lung, cervical, breast, and colorectal cancer-related services, the proportion of both RHC groups providing services dropped peri-pandemic.
The pandemic's impact on independent and provider-based RHCs and their patients was considerable. Going forward, greater resources should be targeted to RHCs-particularly independent RHCs-to ensure their ability to initiate and sustain evidence-based prevention and screening services.</description><identifier>ISSN: 0890-765X</identifier><identifier>EISSN: 1748-0361</identifier><identifier>DOI: 10.1111/jrh.12753</identifier><identifier>PMID: 36869430</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Breast cancer ; Cancer ; Cervical cancer ; Clinics ; Colorectal cancer ; Colorectal carcinoma ; COVID-19 ; Disease prevention ; Government programs ; Lung cancer ; Medical screening ; Medicare ; Pandemics ; Personal finance ; Prevention ; Prevention programs ; Protective equipment ; Rank tests ; Safety equipment ; Services</subject><ispartof>The Journal of rural health, 2023-09, Vol.39 (4), p.765-771</ispartof><rights>2023 National Rural Health Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c273t-4bceef218f338f41861b4a710e4fa63558dfa17e0c10f9a82fdce92f76d1ffb73</cites><orcidid>0000-0001-5174-8666 ; 0000-0002-6465-0454 ; 0000-0001-9500-4212 ; 0000-0002-1529-0819 ; 0000-0001-5779-6802 ; 0000-0002-5380-8391</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27843,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36869430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zahnd, Whitney E</creatorcontrib><creatorcontrib>Silverman, Allie F</creatorcontrib><creatorcontrib>Self, Stella</creatorcontrib><creatorcontrib>Hung, Peiyin</creatorcontrib><creatorcontrib>Natafgi, Nabil</creatorcontrib><creatorcontrib>Adams, Swann Arp</creatorcontrib><creatorcontrib>Merrell, Melinda A</creatorcontrib><creatorcontrib>Owens, Otis L</creatorcontrib><creatorcontrib>Crouch, Elizabeth L</creatorcontrib><creatorcontrib>Eberth, Jan M</creatorcontrib><title>The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States</title><title>The Journal of rural health</title><addtitle>J Rural Health</addtitle><description>The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services changed pre- and peri-pandemic overall and by RHC type (independent and provider-based).
We administered a cross-sectional survey to a stratified random sample of RHCs to assess clinic characteristics, pandemic stressors, and the provision of cancer prevention and control services among RHCs pre- and peri-pandemic. We used McNemar's test and Wilcoxon signed rank tests to assess differences in the provision of cancer prevention and screening services pre- and peri-pandemic by RHC type.
Of the 153 responding RHCs (response rate of 8%), 93 (60.8%) were provider-based and 60 (39.2%) were independent. Both RHC types were similar in their experience of pandemic stressors, though a higher proportion of independent RHCs reported financial concerns and challenges obtaining personal protective equipment. Both types of RHCs provided fewer cancer prevention and screening services peri-pandemic-5.8 to 4.2 for provider-based and 5.3 to 3.5 for independent (P<.05 for both). Across lung, cervical, breast, and colorectal cancer-related services, the proportion of both RHC groups providing services dropped peri-pandemic.
The pandemic's impact on independent and provider-based RHCs and their patients was considerable. Going forward, greater resources should be targeted to RHCs-particularly independent RHCs-to ensure their ability to initiate and sustain evidence-based prevention and screening services.</description><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cervical cancer</subject><subject>Clinics</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>COVID-19</subject><subject>Disease prevention</subject><subject>Government programs</subject><subject>Lung cancer</subject><subject>Medical screening</subject><subject>Medicare</subject><subject>Pandemics</subject><subject>Personal finance</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Protective equipment</subject><subject>Rank tests</subject><subject>Safety equipment</subject><subject>Services</subject><issn>0890-765X</issn><issn>1748-0361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNpdUU1v3CAURFWiZrPpoX-gQsqhycEJGBvwsdo2H9JKOWS36s3C-NFlZWMX8Er5O_mlIbtpDkFPPGmYN2_EIPSVkiuazvXWb65oLkr2Cc2oKGRGGKdHaEZkRTLByz8n6DSELSF5JVnxGZ0wLnlVMDJDz6sN4MXD7_ufGa3wqFwLvdXY9qPSEQ8O24SMkC4XcXrFox92tgWfNSpAi_3kVYc3oLq4wbqzzurwHQ8jeBXt4MJ-RiunwadR2CWZBO_RoD2As-7vQTPY_TYck6G1szGJP0YVIZyhY6O6AF_e-hytb36tFnfZ8uH2fvFjmelcsJgVjQYwOZWGMWkKKjltCiUogcIozspStkZRAURTYiolc9NqqHIjeEuNaQSbo4uDbrLzb4IQ694GDV2nHAxTqHORPq-iLNUcnX-gbofJu-SuziXnhJW0KBPr8sDSfgjBg6lHb3vln2pK6tfg6hRcvQ8ucb-9KU5ND-07839S7AVclZXk</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Zahnd, Whitney E</creator><creator>Silverman, Allie F</creator><creator>Self, Stella</creator><creator>Hung, Peiyin</creator><creator>Natafgi, Nabil</creator><creator>Adams, Swann Arp</creator><creator>Merrell, Melinda A</creator><creator>Owens, Otis L</creator><creator>Crouch, Elizabeth L</creator><creator>Eberth, Jan M</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5174-8666</orcidid><orcidid>https://orcid.org/0000-0002-6465-0454</orcidid><orcidid>https://orcid.org/0000-0001-9500-4212</orcidid><orcidid>https://orcid.org/0000-0002-1529-0819</orcidid><orcidid>https://orcid.org/0000-0001-5779-6802</orcidid><orcidid>https://orcid.org/0000-0002-5380-8391</orcidid></search><sort><creationdate>20230901</creationdate><title>The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States</title><author>Zahnd, Whitney E ; Silverman, Allie F ; Self, Stella ; Hung, Peiyin ; Natafgi, Nabil ; Adams, Swann Arp ; Merrell, Melinda A ; Owens, Otis L ; Crouch, Elizabeth L ; Eberth, Jan M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-4bceef218f338f41861b4a710e4fa63558dfa17e0c10f9a82fdce92f76d1ffb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cervical cancer</topic><topic>Clinics</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>COVID-19</topic><topic>Disease prevention</topic><topic>Government programs</topic><topic>Lung cancer</topic><topic>Medical screening</topic><topic>Medicare</topic><topic>Pandemics</topic><topic>Personal finance</topic><topic>Prevention</topic><topic>Prevention programs</topic><topic>Protective equipment</topic><topic>Rank tests</topic><topic>Safety equipment</topic><topic>Services</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zahnd, Whitney E</creatorcontrib><creatorcontrib>Silverman, Allie F</creatorcontrib><creatorcontrib>Self, Stella</creatorcontrib><creatorcontrib>Hung, Peiyin</creatorcontrib><creatorcontrib>Natafgi, Nabil</creatorcontrib><creatorcontrib>Adams, Swann Arp</creatorcontrib><creatorcontrib>Merrell, Melinda A</creatorcontrib><creatorcontrib>Owens, Otis L</creatorcontrib><creatorcontrib>Crouch, Elizabeth L</creatorcontrib><creatorcontrib>Eberth, Jan M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zahnd, Whitney E</au><au>Silverman, Allie F</au><au>Self, Stella</au><au>Hung, Peiyin</au><au>Natafgi, Nabil</au><au>Adams, Swann Arp</au><au>Merrell, Melinda A</au><au>Owens, Otis L</au><au>Crouch, Elizabeth L</au><au>Eberth, Jan M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States</atitle><jtitle>The Journal of rural health</jtitle><addtitle>J Rural Health</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>39</volume><issue>4</issue><spage>765</spage><epage>771</epage><pages>765-771</pages><issn>0890-765X</issn><eissn>1748-0361</eissn><abstract>The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services changed pre- and peri-pandemic overall and by RHC type (independent and provider-based).
We administered a cross-sectional survey to a stratified random sample of RHCs to assess clinic characteristics, pandemic stressors, and the provision of cancer prevention and control services among RHCs pre- and peri-pandemic. We used McNemar's test and Wilcoxon signed rank tests to assess differences in the provision of cancer prevention and screening services pre- and peri-pandemic by RHC type.
Of the 153 responding RHCs (response rate of 8%), 93 (60.8%) were provider-based and 60 (39.2%) were independent. Both RHC types were similar in their experience of pandemic stressors, though a higher proportion of independent RHCs reported financial concerns and challenges obtaining personal protective equipment. Both types of RHCs provided fewer cancer prevention and screening services peri-pandemic-5.8 to 4.2 for provider-based and 5.3 to 3.5 for independent (P<.05 for both). Across lung, cervical, breast, and colorectal cancer-related services, the proportion of both RHC groups providing services dropped peri-pandemic.
The pandemic's impact on independent and provider-based RHCs and their patients was considerable. Going forward, greater resources should be targeted to RHCs-particularly independent RHCs-to ensure their ability to initiate and sustain evidence-based prevention and screening services.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36869430</pmid><doi>10.1111/jrh.12753</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5174-8666</orcidid><orcidid>https://orcid.org/0000-0002-6465-0454</orcidid><orcidid>https://orcid.org/0000-0001-9500-4212</orcidid><orcidid>https://orcid.org/0000-0002-1529-0819</orcidid><orcidid>https://orcid.org/0000-0001-5779-6802</orcidid><orcidid>https://orcid.org/0000-0002-5380-8391</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0890-765X |
| ispartof | The Journal of rural health, 2023-09, Vol.39 (4), p.765-771 |
| issn | 0890-765X 1748-0361 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2783491391 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete; PAIS Index |
| subjects | Breast cancer Cancer Cervical cancer Clinics Colorectal cancer Colorectal carcinoma COVID-19 Disease prevention Government programs Lung cancer Medical screening Medicare Pandemics Personal finance Prevention Prevention programs Protective equipment Rank tests Safety equipment Services |
| title | The COVID-19 pandemic impact on independent and provider-based rural health clinics' operations and cancer prevention and screening provision in the United States |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T22%3A42%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20COVID-19%20pandemic%20impact%20on%20independent%20and%20provider-based%20rural%20health%20clinics'%20operations%20and%20cancer%20prevention%20and%20screening%20provision%20in%20the%20United%20States&rft.jtitle=The%20Journal%20of%20rural%20health&rft.au=Zahnd,%20Whitney%20E&rft.date=2023-09-01&rft.volume=39&rft.issue=4&rft.spage=765&rft.epage=771&rft.pages=765-771&rft.issn=0890-765X&rft.eissn=1748-0361&rft_id=info:doi/10.1111/jrh.12753&rft_dat=%3Cproquest_cross%3E2783491391%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2866035145&rft_id=info:pmid/36869430&rfr_iscdi=true |