Barriers and facilitators to mexican-american participation in clinical trials: physician and patient focus group perspectives

作     者：Jesse Nodora Tomas Nuno Ken O’Day Virginia Yrun Francisco Garcia 

作者机构：National Center of Excellence in Women’s Health and the Arizona Cancer CenterUniversity of ArizonaTucsonUSA National Center of Excellence in Women’s Health and the Mel and Enid Zuckerman College of Public HealthUniversity of ArizonaTucsonUSA XcendaPalm HarborUSA 

出 版 物：《Health》 (健康（英文）)

年 卷 期：2010年第2卷第7期

页      面：742-752页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：The Arizona Biomedical Research Commission 

主　　题：Clinical Trials Participation Mexican-American Hispanic Medicaid Patients Medicaid Physicians Focus Groups Qualitative Methods 

摘      要：Racial/ethnic minority populations are under- represented in clinical trials and Hispanic participation rates are particularly low. This study assessed barriers and facilitators to clinical trials participation by Medicaid eligible Mexican- Americans and their serving physicians. Qualitative data from two focus groups conducted among Mexican-American Medicaid eligible patients and four physician focus groups were analyzed. Mexican-American patients have a basic understanding of clinical trials. While most are open to participating in clinical research, not speaking English, time, and transportation were identified as barriers. Physicians believe that desperation and financial need are the primary patient motivators for participation. Barriers to physician recruitment and referral include: lack of information about clinical trials, concern that study participation may not be in the patient’s best interest, and lack of staffing and time to conduct trials. Ample opportunities exist to engage providers and patients in future efforts to increase Mexican-American patient recruitment into clinical trials.