Date of Award

1-1-2022

Embargo Period

4-22-2022

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Walter Jones

Second Advisor

Jillian Harvey

Third Advisor

Regina Fearmonti

Abstract

Abstract In 2021, approximately 276,480 women were diagnosed with breast cancer, yet less than 30% were aware of their reconstruction options. The Women’s Healthcare Cancer Right Act (WHCRA) of 1998 stated those with breast cancer are entitled to breast reconstruction. WHCRA of 1998 set the first step in ensuring women get reconstruction if they chose. An exceptionally low percentage of women receive reconstruction after mastectomies each year, and the reasons are yet to be fully understood. Some initial thoughts are that women with breast cancer do not have or receive the information regarding their options to see a plastic surgeon. Unfortunately, many women immediately get a radical mastectomy with only guidance from the breast surgeon. Many plastic surgeons have walked away from reconstruction because the reimbursement rates are exceptionally low. This evaluation showed that doctors’ perceptions of doing breast reconstruction was one of a public service to help women in need, as the reimbursement amount was not worth time and overhead. Almost 30% of plastic surgeons were claiming to have left doing reconstruction completely due to this financial problem in both surveys conducted. Further research should be conducted amongst surgeons and patients to further identify how to help solve for this healthcare gap.

Rights

All rights reserved. Copyright is held by the author.

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