Fabian Camacho
Datos Biográficos
| ID | 5541299 |
|---|---|
| NOMBRE | Fabian Camacho |
| NOMBRES | Fabian |
| APELLIDO | Camacho |
| FIRMA | CAMACHO F |
| AFILIACIONES | Wake Forest University |
| ORCID | 0000-0002-4878-0283 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Patient, facility, and community determinants of timely follow up after abnormal screening mammograms in Appalachia
PURPOSE: Examine the extent that community and organizational characteristics influence mammogram recall and biopsy rates in Appalachia. METHODS: We collected facility survey and Medicare claims (2016-2018) data on 191 FDA-registered breast imaging organizations serving 2.65 million women in 5 Appalachian states (KY, OH, PA, VA, and WV). Primary outcomes were recall rates and time to recall and biopsy. Generalized linear mixed-effects models (GLM…
The Breast‐Imaging Operations, Practices and Systems Inventory
PURPOSE: Develop and test a measurement framework of mammogram facility resources, policies, and practices in Appalachia. METHODS: Survey items describing 7 domains of imaging facility qualities were developed and tested in the Appalachian regions of Kentucky, Ohio, Pennsylvania, Virginia, and West Virginia. Medicare claims data (2016-2018) were obtained on catchment area mammogram services. Construct validity was examined from associations with …
Spatial analysis of colorectal cancer outcomes and socioeconomic factors in Virginia
Rurality, low SES, and racial distribution were important predictors of CRC incidence, mortality, and MIR. Regions with concentrations of one or more factors of disparities face additional hurdles to improving CRC outcomes. A large cluster of high MIR in southwest Virginia region requires further investigation to improve early cancer detection and support survivorship. Spatial analysis can identify high-disparity populations and be used to inform…
The Effects of Hospital Characteristics on Delays in Breast Cancer Diagnosis in Appalachian Communities
PURPOSE: Despite being generally accepted that delays in diagnosing breast cancer are of prognostic and psychological concern, the influence of hospital characteristics on such delays remains poorly understood, especially in rural and underserved areas. However, hospital characteristics have been tied to greater efficiency and warrant further investigation as they may have implications for breast cancer care in these areas. METHODS: Study data we…
Disparities in the Use of Diabetes Screening in Appalachia
PURPOSE: The Appalachian region presents disproportionately high rates of chronic disease compared to the rest of the United States. Early diagnosis of diabetes through screening is an important step in reducing diabetes complications. This study examines disparities in the use of diabetes screening in Appalachia. METHODS: We analyzed 2009 and 2010 Behavioral Risk Factor Surveillance System data for 96,111 adults aged ≥45 years from 11 Appalachia…
Impact of Urban Neighborhood Disadvantage on Late Stage Breast Cancer Diagnosis in Virginia
Patterns of Care for Metastatic Colorectal Cancer in Appalachia, and the Clinical, Sociodemographic, and Service Provider Determinants
BACKGROUND: Appalachia has high colorectal cancer (CRC) incidence and mortality, at least in part due to screening disparities. This paper examines patterns and determinants of metastatic colorectal cancer care. METHODS: CRC patients diagnosed in 2006-2008 from 4 cancer registries (Kentucky, Ohio, Pennsylvania, and North Carolina) were linked to Medicare claims (2005-2009.) The final sample after exclusions included 855 stage IV and 590 stages I-…
Receipt of Regular Primary Care and Early Cancer Detection in Appalachia
PURPOSE: The objective was to examine the impact of regular primary care encounters (PCE) on early breast cancer detection in an Appalachian sample of Medicare beneficiaries diagnosed 2006-2008. Determinants of PCE were investigated and a mediation analysis was conducted where PCE was a mediator to cancer stage. METHODS: A total of 3,589 cases were identified from Appalachian areas in Pennsylvania, Kentucky, Ohio, and North Carolina, and health c…
Disparities in Colorectal Cancer Treatment Delay Within Appalachia—The Role of For‐Profit Hospitals
BACKGROUND: Appalachian residents have a higher overall cancer burden than the rest of the United States because of the unique features of the region. Treatment delays vary widely within Appalachia, with colorectal cancer patients undergoing median treatment delays of 5 days in Kentucky compared to 9 days for patients in Pennsylvania, Ohio, and North Carolina combined. OBJECTIVE: This study identified the source of this disparity in treatment del…
Predicting Late-stage Breast Cancer Diagnosis and Receipt of Adjuvant Therapy
PURPOSE: The 2-step floating catchment area (2SFCA) method of measuring access to care has never been used to study cancer disparities in Appalachia. First, we evaluated the 2SFCA method in relation to traditional methods. We then examined the impact of access to mammography centers and primary care on late-stage breast cancer diagnosis and receipt of adjuvant hormonal therapy. METHODS: Cancer registries from Pennsylvania, Ohio, Kentucky, and Nor…
Does Rurality Influence Treatment Decisions in Early Stage Laryngeal Cancer
PURPOSE: The mortality rate of laryngeal cancer has been trending downward with the use of more effective surgical, radiation, and systemic therapies. Although the best treatment for this disease is not entirely clear, there is a growing consensus on the value of primary radiotherapy as an organ preservation strategy. This study examines urban-rural differences in the use of radiotherapy as the primary treatment for early stage laryngeal cancer i…
Health Care Avoidance Among Rural Populations
BACKGROUND: Previous research suggests that certain populations, including rural residents, exhibit health care avoidant behaviors more frequently than other groups. Additionally, health care avoidance is related to sociodemographics, attitudes, social expectations, ability to pay for care, and prior experiences with providers. However, previous studies have been limited to specific geographic areas, particular health conditions, or by analytic m…
Clinical, Sociodemographic, and Service Provider Determinants of Guideline Concordant Colorectal Cancer Care for Appalachian Residents
BACKGROUND: Colorectal cancer represents a significant cause of morbidity and mortality, particularly in Appalachia where high mortality from colorectal cancer is more prevalent. Adherence to treatment guidelines leads to improved survival. This paper examines determinants of guideline concordance for colorectal cancer. METHODS: Colorectal cancer patients diagnosed in 2006-2008 from 4 cancer registries (Kentucky, Ohio, Pennsylvania, and North Car…
Multilevel Analysis of the Determinants of Receipt of Clinical Preventive Services among Reproductive-Age Women
Development and Validation of a Scale Measuring Satisfaction with Maternal and Newborn Health Care Following Childbirth
Pregnancy Intention and Health Behaviors
Preconception Predictors of Birth Outcomes
Predicting Pregnancy from Pregnancy Intentions
Measuring Trust in Medical Researchers
BACKGROUND: Concern is widespread that the public's and participants' trust in medical research is threatened, but few empirical measures of research trust exist. This project aims to enable more rigorous study of researcher trust by developing and testing appropriate survey measures. METHODS: Survey items were developed based on a conceptual model of the primary domains of researcher trust (safety, fidelity, honesty, global trust). Pilot testing…
The development and validation of the primary care satisfaction survey for women
Trust and Satisfaction With Physicians, Insurers, and the Medical Profession
BACKGROUND: Conceptual or theoretical analysts of trust in medical settings distinguish among markedly different objects or types of trust. However, little is known about how similar or different these types of trust are in reality and the relationship of trust with satisfaction. OBJECTIVES: This exploratory study conducted a comparison among trust in one's personal physician, health insurer, and in the medical profession, and examined whether th…
Trust in the Medical Profession
Objective. To develop and test a multi‐item measure for general trust in physicians, in contrast with trust in a specific physician. Data Sources. Random national telephone survey of 502 adult subjects with a regular physician and source of payment. Study Design. Based on a multidimensional conceptual model, a large pool of candidate items was generated, tested, and revised using focus groups, expert reviewers, and pilot testing. The scale was an…
Measuring Patients’ Trust in their Primary Care Providers
Existing scales to measure trust in physicians have differing content and limited testing. To improve on these measures, a large item pool (n = 78) was generated following a detailed conceptual model and expert review. After pilot testing, the best-performing items were validated with a random national sample (n = 9) and a regional sample of HMO members (n = 99). Various psychometric tests produced a 10-item unidimensional scale consistent with m…
Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women’s Health
Investigating correlates of health related quality of life in a low-income sample of patients with diabetes
Sin obras prominentes en esta página.
Trust in the Medical Profession
Objective. To develop and test a multi‐item measure for general trust in physicians, in contrast with trust in a specific physician. Data Sources. Random national telephone survey of 502 adult subjects with a regular physician and source of payment. Study Design. Based on a multidimensional conceptual model, a large pool of candidate items was generated, tested, and revised using focus groups, expert reviewers, and pilot testing. The scale was an…
Measuring Patients’ Trust in their Primary Care Providers
Existing scales to measure trust in physicians have differing content and limited testing. To improve on these measures, a large item pool (n = 78) was generated following a detailed conceptual model and expert review. After pilot testing, the best-performing items were validated with a random national sample (n = 9) and a regional sample of HMO members (n = 99). Various psychometric tests produced a 10-item unidimensional scale consistent with m…
Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women’s Health
Investigating correlates of health related quality of life in a low-income sample of patients with diabetes
Trust and Satisfaction With Physicians, Insurers, and the Medical Profession
BACKGROUND: Conceptual or theoretical analysts of trust in medical settings distinguish among markedly different objects or types of trust. However, little is known about how similar or different these types of trust are in reality and the relationship of trust with satisfaction. OBJECTIVES: This exploratory study conducted a comparison among trust in one's personal physician, health insurer, and in the medical profession, and examined whether th…
The development and validation of the primary care satisfaction survey for women
Measuring Trust in Medical Researchers
BACKGROUND: Concern is widespread that the public's and participants' trust in medical research is threatened, but few empirical measures of research trust exist. This project aims to enable more rigorous study of researcher trust by developing and testing appropriate survey measures. METHODS: Survey items were developed based on a conceptual model of the primary domains of researcher trust (safety, fidelity, honesty, global trust). Pilot testing…
Pregnancy Intention and Health Behaviors
Preconception Predictors of Birth Outcomes
Predicting Pregnancy from Pregnancy Intentions
Development and Validation of a Scale Measuring Satisfaction with Maternal and Newborn Health Care Following Childbirth
Multilevel Analysis of the Determinants of Receipt of Clinical Preventive Services among Reproductive-Age Women
Does Rurality Influence Treatment Decisions in Early Stage Laryngeal Cancer
PURPOSE: The mortality rate of laryngeal cancer has been trending downward with the use of more effective surgical, radiation, and systemic therapies. Although the best treatment for this disease is not entirely clear, there is a growing consensus on the value of primary radiotherapy as an organ preservation strategy. This study examines urban-rural differences in the use of radiotherapy as the primary treatment for early stage laryngeal cancer i…
Health Care Avoidance Among Rural Populations
BACKGROUND: Previous research suggests that certain populations, including rural residents, exhibit health care avoidant behaviors more frequently than other groups. Additionally, health care avoidance is related to sociodemographics, attitudes, social expectations, ability to pay for care, and prior experiences with providers. However, previous studies have been limited to specific geographic areas, particular health conditions, or by analytic m…
Clinical, Sociodemographic, and Service Provider Determinants of Guideline Concordant Colorectal Cancer Care for Appalachian Residents
BACKGROUND: Colorectal cancer represents a significant cause of morbidity and mortality, particularly in Appalachia where high mortality from colorectal cancer is more prevalent. Adherence to treatment guidelines leads to improved survival. This paper examines determinants of guideline concordance for colorectal cancer. METHODS: Colorectal cancer patients diagnosed in 2006-2008 from 4 cancer registries (Kentucky, Ohio, Pennsylvania, and North Car…
Receipt of Regular Primary Care and Early Cancer Detection in Appalachia
PURPOSE: The objective was to examine the impact of regular primary care encounters (PCE) on early breast cancer detection in an Appalachian sample of Medicare beneficiaries diagnosed 2006-2008. Determinants of PCE were investigated and a mediation analysis was conducted where PCE was a mediator to cancer stage. METHODS: A total of 3,589 cases were identified from Appalachian areas in Pennsylvania, Kentucky, Ohio, and North Carolina, and health c…
Disparities in Colorectal Cancer Treatment Delay Within Appalachia—The Role of For‐Profit Hospitals
BACKGROUND: Appalachian residents have a higher overall cancer burden than the rest of the United States because of the unique features of the region. Treatment delays vary widely within Appalachia, with colorectal cancer patients undergoing median treatment delays of 5 days in Kentucky compared to 9 days for patients in Pennsylvania, Ohio, and North Carolina combined. OBJECTIVE: This study identified the source of this disparity in treatment del…
Predicting Late-stage Breast Cancer Diagnosis and Receipt of Adjuvant Therapy
PURPOSE: The 2-step floating catchment area (2SFCA) method of measuring access to care has never been used to study cancer disparities in Appalachia. First, we evaluated the 2SFCA method in relation to traditional methods. We then examined the impact of access to mammography centers and primary care on late-stage breast cancer diagnosis and receipt of adjuvant hormonal therapy. METHODS: Cancer registries from Pennsylvania, Ohio, Kentucky, and Nor…
Patterns of Care for Metastatic Colorectal Cancer in Appalachia, and the Clinical, Sociodemographic, and Service Provider Determinants
BACKGROUND: Appalachia has high colorectal cancer (CRC) incidence and mortality, at least in part due to screening disparities. This paper examines patterns and determinants of metastatic colorectal cancer care. METHODS: CRC patients diagnosed in 2006-2008 from 4 cancer registries (Kentucky, Ohio, Pennsylvania, and North Carolina) were linked to Medicare claims (2005-2009.) The final sample after exclusions included 855 stage IV and 590 stages I-…
Impact of Urban Neighborhood Disadvantage on Late Stage Breast Cancer Diagnosis in Virginia
The Effects of Hospital Characteristics on Delays in Breast Cancer Diagnosis in Appalachian Communities
PURPOSE: Despite being generally accepted that delays in diagnosing breast cancer are of prognostic and psychological concern, the influence of hospital characteristics on such delays remains poorly understood, especially in rural and underserved areas. However, hospital characteristics have been tied to greater efficiency and warrant further investigation as they may have implications for breast cancer care in these areas. METHODS: Study data we…
Disparities in the Use of Diabetes Screening in Appalachia
PURPOSE: The Appalachian region presents disproportionately high rates of chronic disease compared to the rest of the United States. Early diagnosis of diabetes through screening is an important step in reducing diabetes complications. This study examines disparities in the use of diabetes screening in Appalachia. METHODS: We analyzed 2009 and 2010 Behavioral Risk Factor Surveillance System data for 96,111 adults aged ≥45 years from 11 Appalachia…
Spatial analysis of colorectal cancer outcomes and socioeconomic factors in Virginia
Rurality, low SES, and racial distribution were important predictors of CRC incidence, mortality, and MIR. Regions with concentrations of one or more factors of disparities face additional hurdles to improving CRC outcomes. A large cluster of high MIR in southwest Virginia region requires further investigation to improve early cancer detection and support survivorship. Spatial analysis can identify high-disparity populations and be used to inform…
The Breast‐Imaging Operations, Practices and Systems Inventory
PURPOSE: Develop and test a measurement framework of mammogram facility resources, policies, and practices in Appalachia. METHODS: Survey items describing 7 domains of imaging facility qualities were developed and tested in the Appalachian regions of Kentucky, Ohio, Pennsylvania, Virginia, and West Virginia. Medicare claims data (2016-2018) were obtained on catchment area mammogram services. Construct validity was examined from associations with …
Patient, facility, and community determinants of timely follow up after abnormal screening mammograms in Appalachia
PURPOSE: Examine the extent that community and organizational characteristics influence mammogram recall and biopsy rates in Appalachia. METHODS: We collected facility survey and Medicare claims (2016-2018) data on 191 FDA-registered breast imaging organizations serving 2.65 million women in 5 Appalachian states (KY, OH, PA, VA, and WV). Primary outcomes were recall rates and time to recall and biopsy. Generalized linear mixed-effects models (GLM…
Medicine (24 obras) · Demography (12 obras) · Global Cancer Incidence and Screening (12 obras) · Internal Medicine (12 obras) · Environmental health (11 obras) · Cancer (10 obras) · Family medicine (9 obras) · Gerontology (9 obras) · Population (8 obras) · Health care (7 obras)