Abstract IA47: Disparities in access and outcomes: Actions and consequences

Abstract

Abstract Disparities in cancer care quality and outcomes are well documented, and an increasing evidence base informs a deeper understanding of the complex determinants of such disparities and their interactions. However, because the interactions are incompletely understood, work to achieve equity in cancer care has not demonstrated the desired impact in eliminating, or even meaningfully reducing, disparities at the population level. Current strategies to reduce health care disparities must take the value proposition into account, balancing the tenets of payment reform with improvements in access and quality. Coordinating the actions of policymakers and providers (including health systems and front-line clinical teams) is critical in making intentional forward progress. The impact of well-intended policies is often difficult to anticipate. This talk will highlight examples of policies and trends in health care delivery with unintended consequences on the very cancer outcomes they were meant to improve. Citation Format: Sandra L. Wong. Disparities in access and outcomes: Actions and consequences [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr IA47.