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Barriers to Men’s Healthcare

Barriers to Men’s Healthcare. Patient Imperatives in the face of professional controversy. Virgil Simons Founder & President The Prostate Net, Inc.®. Pathways to Cancer. Awareness Access Environment Lifestyle Culture Genetics Every cancer is different.

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Barriers to Men’s Healthcare

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  1. Barriers to Men’s Healthcare Patient Imperatives in the face of professional controversy Virgil Simons Founder & President The Prostate Net, Inc.®

  2. Pathways to Cancer • Awareness • Access • Environment • Lifestyle • Culture • Genetics • Every cancer is different

  3. National Healthcare Quality Report - 2007 • “Preventive healthcare lags significantly behind other gains in healthcare.” • Access to care and information varied widely between racial/ethnic groups and by socio-economic status • Source: www.ahrq.gov

  4. The Prostate Net • Survivor led non-profit corporation (1996) • Multi-focal service matrix • Focus: • Education • Intervention • Research • Deliver value

  5. Listening to the Audience:ARS initiative

  6. On-going Concerns • “Lack of educational efforts” • “Will screening be part of healthcare reform” • “...men of color MUST take care of themselves” • “the quality of the faculty was over the top” • “more time for advanced disease needed”

  7. Defining Barriers to Men’s Participation in Healthcare • Attitudinal Barriers • Gender Role Stoicism • Work Role Stoicism • Distrust of the Health Care System • Fatalism: “you’ve got to die of something.” • Maladaptive Self-Reliance: “A ‘man’ takes care of his own problems.”

  8. Early Disease Detection Barriers • U.S. vs European conflict on screening • No consensus among U.S. agencies • Lack of “Risk” determination • Compared to Women: • Men are less likely to utilize the health care system • Men are less likely to carry health insurance • More likely to delay seeking healthcare

  9. Primary Care Impact • Decline in doctors entering into Primary Care Medicine • Resistance to greater use of nurse practitioners • Continuing shortage of nurses • Closing of ER’s • Resistance to “Convenient Care” clinics

  10. Complicating the Issue • Women vs. Men • Comparable incidence and mortality • Research funds - 3X for breast cancer • Public health staffing - inconsistent • Government commitment - no agencies • Media focus - inordinately female focus • Men don’t communicate

  11. The Benefits of Positive Men’s Health to the Community • Reducing or controlling rising health care costs through preventing costly, advanced disease • Reducing economic costs of preventable male illness, including lost time from work, disability, diminished income, and reduced work productivity • Increased attention to men’s health ultimately holds the potential to bolster and uplift the health status of both genders • Gender health is not either/or, It’s both or neither

  12. Expectations • Survivorship: • What is being done to extend my life NOW • Focus: • On the patient, not the system • Results: • Need balance between the future and present • Think Globally: • Utilize data and results from the rest of the world

  13. So…what’s the answer

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