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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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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

Pathways to Cancer

  • Awareness

  • Access

  • Environment

  • Lifestyle

  • Culture

  • Genetics

  • Every cancer is different

National healthcare quality report 2007

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:

The prostate net

The Prostate Net

  • Survivor led non-profit corporation (1996)

  • Multi-focal service matrix

  • Focus:

    • Education

    • Intervention

    • Research

  • Deliver value

  • Listening to the audience ars initiative

    Listening to the Audience:ARS initiative

    On going concerns

    On-going Concerns

    • “Lack of educational efforts”

    • “Will screening be part of healthcare reform”

    • “ of color MUST take care of themselves”

    • “the quality of the faculty was over the top”

    • “more time for advanced disease needed”

    Defining barriers to men s participation in healthcare

    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.”

    Early disease detection barriers

    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

    Primary care impact

    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

    Complicating the issue

    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

    The benefits of positive men s health to the community

    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



    • 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

  • So what s the answer

    So…what’s the answer

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