 Research ArticleAttitude of health-care providers toward childhood leukemia patients with different socio-economic status  | | Saskia Mostert, MD 1 *, Mei N. Sitaresmi, MD 2, Chad M. Gundy, MS 3, Sutaryo, MD, PhD 2, Anjo J.P. Veerman, MD, PhD 1 | 1Pediatric Hematology Oncology Division, Department of Pediatrics, Vrije University Medical Center, Vrije University, Amsterdam, The Netherlands
2Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta, Indonesia
3Department of Psycho-Social Research and Epidemiology, Dutch Cancer Institute-Antonie van Leeuwenhoek Hospital, Amsterdam, The Netherlands
| | email: Saskia Mostert (s.mostert@vumc.nl) |
*Correspondence to Saskia Mostert, Department of Pediatrics, Vrije University Medical Center, Boelelaan 1117, Amsterdam, The Netherlands. Conflict of interest: All authors declare that there is no conflict of interest. Funded by:
 Dutch Cancer Society Koningin Wilhelmina Fonds
Estella Foundation
Frank ter Linden Foundation | childhood acute lymphoblastic leukemia • compliance • developing country • health-care providers • socio-economic status |
Background | | Treatment results differ significantly between poor and prosperous children with leukemia in Indonesia. The objective of this study was to determine whether parental socio-economic status influences beliefs, attitude, and behavior of health-care providers (hcp) treating childhood leukemia in Indonesia. |
Procedure | | A self-administered semi-structured questionnaire was filled in by 102 hcp (69 doctors, 28 nurses, 2 psychologists, 2 hematology technicians, 1 administrator). |
Results | | Most hcp (98%) asked parents about their financial situation. The decision to start treatment was influenced by parental socio-economic status (86%), motivation of parents (80%), and motivation of doctors (76%). Health-care providers stated that prosperous patients comply better with treatment (64%), doctors comply better with treatment for the prosperous (53%), most patients cannot afford to complete treatment (58%), less extensive explanations are given toward poor families (60%), and communication is impeded by differences in status (67%). When dealing with prosperous families a minority of hcp stated that they pay more attention (27%), work with greater accuracy (24%), take more interest (23%), and devote more time per visit (22%). Most hcp denied differences in the quality of medical care (93%) and the chances of cure (58%) between poor and prosperous patients. |
Conclusions | | Beliefs, attitude, and behavior of hcp toward poor versus prosperous patients appeared to differ. These differences may contribute to the immense drop-out rate and slight chances of survival among poor patients with leukemia in developing countries. Pediatr Blood Cancer 2008;50:1001-1005. © 2007 Wiley-Liss, Inc. |
Received: 1 May 2007; Accepted: 27 June 2007 10.1002/pbc.21324 About DOI Related Articles- Find other articles like this in Wiley InterScience
- Find articles in Wiley InterScience written by any of the authors
Wiley InterScience is a member of CrossRef. 
| |
My Cart
15 komentar:
Making money on the internet is easy in the undercover world of [URL=http://www.www.blackhatmoneymaker.com]blackhat training[/URL], Don’t feel silly if you have no clue about blackhat marketing. Blackhat marketing uses little-known or misunderstood avenues to produce an income online.
Aloha people, helpful site I have found It truly helpful & it's helped me alot
I hope to be able to give something back & support others like this forum has helped me
_________________
[url=http://iphoneusers.com]cydia unlock[/url]
Hello i am fresh on here, I stumbled upon this chat board I have found It truly accessible & its helped me out tons. I hope to give something back and support others like its helped me.
Thanks, Catch You Around
Hi-ya i'm new to this. I came accross this board I have found It absolutely accommodating & it has helped me a lot. I should be able to contribute & help other people like it has helped me.
Thank You, See You Around.
Finally the future of harmless smoking is here! It looks, feels & tasts like a real cigarette but it's not a traditional cigarette. It's called an e cig People who already have experienced this extraordinary smokeless device are astonished by it's performance which contains No Tar,Ash,Odor or Secondhand Smoke.
[URL=http://www.electroniccig.com][B]vapor cigarette[/B][/URL]
Hi-ya i'm fresh on here. I stumbled upon this board I have found It positively helpful & it has helped me so much. I hope to contribute & guide other users like its helped me.
Thanks a load, Catch You About.
Howdy im new here. I came accross this board I find It vastly helpful & its helped me alot. I hope to contribute & guide other users like its helped me.
Thanks a load, See You About.
Greetings i'm fresh to this. I stumbled upon this message board I have found It vastly helpful & its helped me alot. I should be able to contribute and assist other users like its helped me.
Thanks a load, Catch You Later.
Greetings i'm new here, I hit upon this message board I have found It amply accessible and its helped me alot. I hope to give something back and assist others like its helped me.
Thanks Everyone, Catch You Around.
Whats's Up i'm new on here, I stumbled upon this website I find It extremely helpful & it has helped me a great deal. I should be able to give something back and aid other users like its helped me.
Thank You, See You Later
Good Day every one, neat message board I have found It very accessible and it has helped me out so much
I hope to be able to give something back and support other users like this board has helped me
Hi-ya i'm new on here, I came upon this website I have found It very accommodating and it has helped me alot. I should be able to give something back and aid other users like it has helped me.
Thank's, See You About.
Heya i am new to this, I stumbled upon this site I have found It positively useful and its helped me alot. I hope to give something back & assist other people like its helped me.
Thank's, See You Later.
[url=http://dcxvssh.com]GEHyRDjejBDD[/url] , KMkDjUTfahmxl - http://hhmgziigpu.com
top [url=http://www.c-online-casino.co.uk/]free casino games[/url] hinder the latest [url=http://www.realcazinoz.com/]casino online[/url] manumitted no deposit hand-out at the chief [url=http://www.baywatchcasino.com/]free gratuity casino
[/url].
Posting Komentar