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COVID- 19 pandemic and health care disparities in head and neck cancer: Scanning the horizon
dc.contributor.authorGraboyes, Evan
dc.contributor.authorCramer, John
dc.contributor.authorBalakrishnan, Karthik
dc.contributor.authorCognetti, David M.
dc.contributor.authorLópez‐cevallos, Daniel
dc.contributor.authorAlmeida, John R.
dc.contributor.authorMegwalu, Uchechukwu C.
dc.contributor.authorMoore, Charles E.
dc.contributor.authorNathan, Cherie‐ann
dc.contributor.authorSpector, Matthew E.
dc.contributor.authorLewis, Carol M.
dc.contributor.authorBrenner, Michael J.
dc.date.accessioned2020-08-10T20:55:20Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-08-10T20:55:20Z
dc.date.issued2020-07
dc.identifier.citationGraboyes, Evan; Cramer, John; Balakrishnan, Karthik; Cognetti, David M.; López‐cevallos, Daniel ; Almeida, John R.; Megwalu, Uchechukwu C.; Moore, Charles E.; Nathan, Cherie‐ann ; Spector, Matthew E.; Lewis, Carol M.; Brenner, Michael J. (2020). "COVID- 19 pandemic and health care disparities in head and neck cancer: Scanning the horizon." Head & Neck 42(7): 1555-1559.
dc.identifier.issn1043-3074
dc.identifier.issn1097-0347
dc.identifier.urihttps://hdl.handle.net/2027.42/156210
dc.description.abstractThe COVID- 19 pandemic has profoundly disrupted head and neck cancer (HNC) care delivery in ways that will likely persist long term. As we scan the horizon, this crisis has the potential to amplify preexisting racial/ethnic disparities for patients with HNC. Potential drivers of disparate HNC survival resulting from the pandemic include (a) differential access to telemedicine, timely diagnosis, and treatment; (b) implicit bias in initiatives to triage, prioritize, and schedule HNC- directed therapy; and (c) the marked changes in employment, health insurance, and dependent care. We present four strategies to mitigate these disparities: (a) collect detailed data on access to care by race/ethnicity, income, education, and community; (b) raise awareness of HNC disparities; (c) engage stakeholders in developing culturally appropriate solutions; and (d) ensure that surgical prioritization protocols minimize risk of racial/ethnic bias. Collectively, these measures address social determinants of health and the moral imperative to provide equitable, high- quality HNC care.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherhealth care delivery
dc.subject.otherracial and ethnic disparities
dc.subject.othersocial determinants of health
dc.subject.otherCOVID- 19
dc.subject.otherhead and neck cancer
dc.titleCOVID- 19 pandemic and health care disparities in head and neck cancer: Scanning the horizon
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelOtolaryngology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156210/2/hed26345.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156210/1/hed26345_am.pdfen_US
dc.identifier.doi10.1002/hed.26345
dc.identifier.sourceHead & Neck
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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