Providing a community-based cancer risk assessment service for a socially and ethnically diverse population.
Fam Cancer
; 6(2): 189-95, 2007.
Article
in En
| MEDLINE
| ID: mdl-17520349
ABSTRACT
BACKGROUND:
Patients from ethnic minorities are under-represented in referrals to cancer genetics services. In a regional genetics centre that serves two London boroughs, the existing service attracts 3% of its referrals from Black and Minority Ethnic (BME) and other ethnic groups, despite the fact that these groups make up 34% of the population.OBJECTIVES:
To improve access to familial cancer risk assessment in a socially and ethnically diverse population.SETTING:
The London boroughs of Lambeth and Southwark.DESIGN:
Community-based, nurse-led clinics were established for people who were concerned about their familial cancer risk. Patients were asked to triage themselves by answering three questions. Self-referral was encouraged. MAIN OUTCOMEMEASURES:
Data were gathered on ethnicity of clients, cancer risk, source of referral and patient and health professional satisfaction with the service.RESULTS:
Of the 415 people who have accessed the service, 46% were from not White British groups and 67% referred themselves to the service, demonstrating the success of this model in reaching 'hard to reach' groups. Thirty-seven percent of patients were assessed as being at population risk and 63% were assessed as being at moderate risk or higher, showing that the clinics were meeting an unmet need in the community.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Community Health Services
/
Genetic Services
/
Minority Groups
/
Neoplasms
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Fam Cancer
Journal subject:
NEOPLASIAS
Year:
2007
Document type:
Article
Affiliation country:
United kingdom