# IMPROVING BREAST CANCER CARE THROUGH PATIENT ACTIVATION

> **NIH NIH R01** · NEW ENGLAND RESEARCH INSTITUTES, INC. · 1993 · $240,444

## Abstract

To date, research on barriers to care has largely focussed on influences
affecting the utilization of services (economic, cultural, social
psychological, organizational, and geographic): few studies have examined
reasons for variability in care a at later stage in the process, after
utilization has occurred (i.e., during the patient-provider encounter).
The proposed study will fill knowledge gaps by; (a) identifying within the
context of the patient-provider relationship, barriers to appropriate
diagnosis and treatment of symptomatic breast cancer in women aged 65 years
and over; and (b) evaluating a specific patient intervention designed to
remove these identified barriers.

Physicians' evaluations of patients' presenting symptoms are generally
thought to be relatively free of extraneous influences and guided by
biomedical criteria.  However, prior research suggests that patient
sociodemographics and personal characteristics of physicians influence
physician preferences.  Since physicians are gatekeepers to costly
treatment and technology required to care for older people, it is important
for effective case management and public policy to disentangle the factors
influencing physician preference in diagnosis and treatment of older women
with breast cancer.

## Key facts

- **NIH application ID:** 3123298
- **Project number:** 5R01AG011352-02
- **Recipient organization:** NEW ENGLAND RESEARCH INSTITUTES, INC.
- **SAM.gov UEI:** FFWJTXCKDLK5
- **Principal Investigator:** John B McKinlay
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1993
- **Award amount:** $240,444
- **Award type:** 5
- **Project period:** 1992-09-21 → 1995-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123298

## Citation

> US National Institutes of Health, RePORTER application 3123298, IMPROVING BREAST CANCER CARE THROUGH PATIENT ACTIVATION (5R01AG011352-02). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123298. Licensed CC0.

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