The prevention, detection and treatment of cancer has received enormous scientific and clinical attention in the US and in other developed countries. However, there has been no comprehensive review of the racial/ethnic disparities in cancer among elders, nor the opportunities for cancer prevention within the Medicare population. In this important work, John A. Capitman, Sarita Bhalotra and Mathilda Ruwe address this deficiency. The evidence report summarized in this book offers systematic syntheses of prior published research and qualitative assessments of emerging approaches in order to illustrate and clarify some of the debates surrounding cancer disparities. Based on a large-scale US government-funded review of existing literature and case studies of model programs by a multidisciplinary team, this key work: Provides a comprehensive approach to cancer etiology and prevalence among older people; Integrates genetic, epidemiological, medical care, health services research and social science interpretive frames and current knowledge for cancer control; Explores existing research on reduction in cancer risks through lifestyle modification and the potential applicability of this research to elders of color; Explores the implementation experiences of model programs to reduce cancer care inequalities Develops a conceptual framework of cancer detection and treatment systems across multiple anatomical cancer sites; Examines opportunities for screening, treatment and follow-up service enhancement for elders of color; Fills gaps in current published systematic reviews with respect to older people.
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John A Capitman is Professor at the Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University. From January 2005 he will be Executive Director at the Central Valley Health Policy Institute and Professor at the College of Human Services, California State University Fresno, USA. Sarita Bhalotra is an Associate Professor and Mathilda B. Ruwe is a Research Associate. Both are at the Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, USA.
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