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How rural and urban patients in Australia with colorectal or breast cancer experience choice of treatment provider: A qualitative study.
- Source :
-
European Journal of Cancer Care . Nov2017, Vol. 26 Issue 6, pn/a-N.PAG. 10p. 1 Chart, 1 Graph. - Publication Year :
- 2017
-
Abstract
- Modern healthcare systems promote patient choice of cancer treatment provider, but little is known about how place of residence influences decision-making. This research explored how rural and urban patients with breast or colorectal cancer experience choice of cancer treatment provider in Victoria, Australia. Realist thematic analysis of 43 semi-structured telephone interviews identified little active participation in decision-making regardless of area of residence or cancer diagnosis. Perceptions of choice were impacted by urgency for treatment, insurance status and access to providers, a key issue for rural patients. All patients wanted high quality care, but needed to trust health professional's recommendations. Rural patients experienced more complex decision-making, balancing a range of social factors with perceptions about quality of accessible care. Further research into variation in quality of care and complex cancer pathways for rural and urban cancer patients is warranted to inform choices and enhance patient-centred care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEALTH services accessibility
*BREAST tumors
*CANCER patients
*CANCER patient medical care
*COLON tumors
*HEALTH insurance
*INTERVIEWING
*RESEARCH methodology
*MEDICAL quality control
*METROPOLITAN areas
*POPULATION geography
*RESEARCH funding
*RURAL conditions
*TELEPHONES
*TRUST
*QUALITATIVE research
*JUDGMENT sampling
*DATA analysis
*THEMATIC analysis
*PATIENTS' attitudes
*PATIENT decision making
RECTUM tumors
Subjects
Details
- Language :
- English
- ISSN :
- 09615423
- Volume :
- 26
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- European Journal of Cancer Care
- Publication Type :
- Academic Journal
- Accession number :
- 126068688
- Full Text :
- https://doi.org/10.1111/ecc.12646