[영문]Objectives. To improve access to prostate cancer treatment for low incomeuninsured men, California initiated a program called IMPACT: ImprovingAccess, Counseling and Treatment for Californians with Prostate Cancer. Theprogram administered free treatment, case management, counseling, andeducational materials to all eligible men until budget cuts led to a statemandatedsuspension of enrollment and the establishment of a temporarywaitlist in February 2005. To assess the effect of suspension of enrollment onpatient outcomes, the authors compared health-related quality of life (HRQOL)in waitlisted and enrolled men.Methods. Eighty-three men in each group were matched on disease stage,age, and race. HRQOL was captured with the UCLA Prostate Cancer Indexshort form (PCI-SF), the Medical Outcomes Study Short Form-12 (SF-12), andMcCorkle and Young’s Symptoms and Degrees of Distress in Patients withCancer Scale (SDS). Self-efficacy was measured with the Perceived Efficacy inPatient-Physician Interactions (PEPPI) Questionnaire.Results. At intake, waitlisted men demonstrated significantly more symptomrelateddistress (2.9; p50.04) and less perceived self-efficacy (2.5; p50.005)compared to enrollees. Waitlisted men were significantly less likely to haveaccess to a doctor or nurse case manager, treatment medications, nutritioninformation, or counseling services (p,0.0001).Conclusions. Men denied enrollment into the IMPACT program exhibitedsignificantly worse symptom distress and self-efficacy compared to enrolledmen at initial assessment. The multivariate model suggests that HRQOL in thewaitlisted men may be related to their lack of access to medical services. Thisdata illustrates the importance of ongoing public assistance for low incomemen with prostate cancer.