Patient-Reported Barriers to Foregut Cancer Care in the Deep South Article Swipe
Ioannis Liapis
,
Alfonsus Adrian Harsono
,
Jaspinder Sanghera
,
K. West
,
Rida Ahmad
,
Michelle Holland
,
Larry R. Hearld
,
Smita Bhatia
,
Krista R. Mehari
,
Martin J. Heslin
,
Daniel I. Chu
,
Annabelle L. Fonseca
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1245/s10434-025-17113-2
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1245/s10434-025-17113-2
Background Many patients with foregut cancer do not receive guideline-concordant treatment (GCT). Although social determinants of health (SDOH) have been associated with differences in receipt of GCT, the underlying mechanisms that perpetuate these disparities remain unknown. This mixed-methods study explored barriers to receipt of care among patients with foregut cancer. Methods Patients with foregut cancers treated at a safety-net hospital in the Deep South were purposively selected. The patients completed semi-structured interviews, which were recorded, transcribed, and analyzed. Grounded theory methodology was used to generate themes through open coding, develop a thematic coding structure, and create a codebook. Intercoder agreement was above 90%. Patient sociodemographic and treatment-related variables were abstracted from the patients’ medical records to produce simple descriptive statistics. Results The majority of the 30 participating patients were male ( n = 23, 77%), black ( n = 18, 60%), and with a median age of 63 years (interquartile range, 55–67 years). Using the socioecologic model, barriers were categorized into individual, interpersonal, organizational, and policy levels. Within the individual level, the barriers were access to primary care providers, personal barriers, competing responsibilities, multifaceted financial barriers, and transportation barriers. The interpersonal barriers involved communication challenges, physician mistrust, and absence of social support. The organizational level barriers were health system mistrust, inadequate health care infrastructure, and lack of insurance coverage consequences. The policy level barriers were health care access policies and insurance policies. Conclusions The patients reported multiple barriers related to accessing and adhering to their treatments. Understanding these barriers is critical to forming the basis for developing and implementing programs to increase the delivery of GCT.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1245/s10434-025-17113-2
- https://link.springer.com/content/pdf/10.1245/s10434-025-17113-2.pdf
- OA Status
- hybrid
- Cited By
- 3
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408152022
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4408152022Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1245/s10434-025-17113-2Digital Object Identifier
- Title
-
Patient-Reported Barriers to Foregut Cancer Care in the Deep SouthWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-03-04Full publication date if available
- Authors
-
Ioannis Liapis, Alfonsus Adrian Harsono, Jaspinder Sanghera, K. West, Rida Ahmad, Michelle Holland, Larry R. Hearld, Smita Bhatia, Krista R. Mehari, Martin J. Heslin, Daniel I. Chu, Annabelle L. FonsecaList of authors in order
- Landing page
-
https://doi.org/10.1245/s10434-025-17113-2Publisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1245/s10434-025-17113-2.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1245/s10434-025-17113-2.pdfDirect OA link when available
- Concepts
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Medicine, Health care, Thematic analysis, Foregut, Receipt, Family medicine, Nursing, Interquartile range, Subspecialty, Qualitative research, Surgery, Political science, Business, Accounting, Law, Anatomy, Social science, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.model, | 157 |
| abstract_inverted_index.policy | 166, 222 |
| abstract_inverted_index.range, | 151 |
| abstract_inverted_index.remain | 35 |
| abstract_inverted_index.simple | 118 |
| abstract_inverted_index.social | 14, 201 |
| abstract_inverted_index.system | 209 |
| abstract_inverted_index.themes | 86 |
| abstract_inverted_index.theory | 80 |
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| abstract_inverted_index.Patient | 104 |
| abstract_inverted_index.Results | 121 |
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| abstract_inverted_index.cancer. | 50 |
| abstract_inverted_index.cancers | 55 |
| abstract_inverted_index.coding, | 89 |
| abstract_inverted_index.develop | 90 |
| abstract_inverted_index.foregut | 5, 49, 54 |
| abstract_inverted_index.forming | 253 |
| abstract_inverted_index.levels. | 167 |
| abstract_inverted_index.medical | 114 |
| abstract_inverted_index.primary | 177 |
| abstract_inverted_index.produce | 117 |
| abstract_inverted_index.receipt | 25, 43 |
| abstract_inverted_index.receive | 9 |
| abstract_inverted_index.records | 115 |
| abstract_inverted_index.related | 239 |
| abstract_inverted_index.through | 87 |
| abstract_inverted_index.treated | 56 |
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| abstract_inverted_index.Grounded | 79 |
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| abstract_inverted_index.adhering | 243 |
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| abstract_inverted_index.coverage | 219 |
| abstract_inverted_index.critical | 251 |
| abstract_inverted_index.delivery | 264 |
| abstract_inverted_index.explored | 40 |
| abstract_inverted_index.generate | 85 |
| abstract_inverted_index.hospital | 60 |
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| abstract_inverted_index.involved | 193 |
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| abstract_inverted_index.patients | 3, 47, 69, 128, 235 |
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| abstract_inverted_index.policies | 229 |
| abstract_inverted_index.programs | 260 |
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| abstract_inverted_index.accessing | 241 |
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| abstract_inverted_index.analyzed. | 78 |
| abstract_inverted_index.barriers, | 181, 186 |
| abstract_inverted_index.barriers. | 189 |
| abstract_inverted_index.codebook. | 98 |
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| abstract_inverted_index.policies. | 232 |
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| abstract_inverted_index.safety-net | 59 |
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| abstract_inverted_index.disparities | 34 |
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| abstract_inverted_index.(interquartile | 150 |
| abstract_inverted_index.interpersonal, | 163 |
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| abstract_inverted_index.transportation | 188 |
| abstract_inverted_index.infrastructure, | 214 |
| abstract_inverted_index.organizational, | 164 |
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| abstract_inverted_index.responsibilities, | 183 |
| abstract_inverted_index.treatment-related | 107 |
| abstract_inverted_index.guideline-concordant | 10 |
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| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/9 |
| sustainable_development_goals[0].score | 0.47999998927116394 |
| sustainable_development_goals[0].display_name | Industry, innovation and infrastructure |
| citation_normalized_percentile.value | 0.97730807 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |