Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1118
Title: How rural and urban patients in Australia with colorectal or breast cancer experience choice of treatment provider: a qualitative study.
Author: Bergin, R.
Emery, J.
Bollard, Ruth
White, V.
Issue Date: 2017
Publication Title: European Journal of Cancer Care
Volume: 26
Issue: 6
Start Page: e12646
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.
URI: http://hdl.handle.net/11054/1118
Resource Link: https://www.ncbi.nlm.nih.gov/pubmed/28144993
ISSN: 0961-5423
DOI: 10.1111/ecc.12646
Internal ID Number: 01085
Health Subject: ACCESS
CANCER
PATIENT-CENTRED CARE
QUALITY OF HEALTH CARE
RURAL HEALTH
CHOICE BEHAVIOUR
DELIVERY OF HEALTH CARE
Type: Journal Article
Article
Appears in Collections:Research Output

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