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Utilization of Hospital-Based Chaplain Services Among Newly Diagnosed Male Veterans Affairs Colorectal Cancer Patients |
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| Authors: | Leah L. Zullig George L. Jackson Dawn Provenzale Joan M. Griffin Sean Phelan Jason A. Nieuwsma Michelle van Ryn |
| Affiliation: | 1. Health Services Research and Development (152), Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 508 Fulton St., Durham, NC, 27705, USA 2. Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA 3. Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA 4. Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA 5. Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN, USA 6. Department of Medicine, University of Minnesota, Minneapolis, MN, USA 7. Mental Illness Research, Education and Clinical Center and VA Mental Health Chaplaincy Program, Durham Veterans Affairs Medical Center, Durham, NC, USA 8. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA 9. Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA |
| Abstract: | The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 % response rate). Multivariable logistic regression examined factors associated with chaplain utilization. Of 918 male respondents, 36 % reported utilizing chaplains. Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1.017; 95 % CI = 0.999–1.035), younger age (age OR = 0.979; 95 % CI = 0.964–0.996), and later cancer stage (early stage OR = 0.743; 95 % CI = 0.559–0.985). Chaplain services are most utilized by younger, sicker patients. |
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