Follow-up care after breast cancer treatment: experiences and perceptions of service provision and provider interactions in rural Australian women.
Purpose: This study aims to explore and examine experiences and perceptions of follow-up care (medical and psychosocial) after active treatment for breast cancer among women living outside major Australian cities.Method: Twenty-five semi-structured telephone interviews were conducted. Participants a...
| Publicado en: | Supportive Care in Cancer Vol. 19; no. 12; pp. 1975 - 1983 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Dec2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104592896&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104592896 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Dec2011 vid: 19 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104592896 66886277 NLM21080202 2011339710 10.1007/s00520-010-1041-4 NLM21080202 104592896 ppf: 1975 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Follow-up care after breast cancer treatment: experiences and perceptions of service provision and provider interactions in rural Australian women. aug: au: Lawler S Spathonis K Masters J Adams J Eakin E Lawler, Sheleigh Spathonis, Kym Masters, Jane Adams, Jon Eakin, Elizabeth affil: School of Population Health, The University of Queensland, Cancer Prevention Research Centre, Herston, Queensland 4006, Australia sug: subj: Breast Neoplasms Therapy Continuity of Patient Care Patient Satisfaction Professional-Patient Relations Rural Population Survivors Adult Aged Australia Female Interviews Middle Age Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female ab: Purpose: This study aims to explore and examine experiences and perceptions of follow-up care (medical and psychosocial) after active treatment for breast cancer among women living outside major Australian cities.Method: Twenty-five semi-structured telephone interviews were conducted. Participants also completed a brief questionnaire to collect demographic, diagnosis, and treatment information. Interviews were audio-recorded, transcribed, independently coded, and then thematically analysed.Results: Themes that emerged from the interviews centred on patient experiences and perceptions of follow-up service provision and provider interactions related to medical, psychosocial, and lifestyle (e.g., diet, physical activity) care. Many women perceived a marked decline in the quality and duration of follow-up consultations with clinicians in comparison to their initial treatment experiences. Several women experienced considerable overlap in follow-up care when multiple providers were involved resulting in 'unnecessary' time and travel costs. Generally, women experienced limited availability of medical providers in rural areas, resulting in a lack of continuity in care, exacerbated by limited communication and coordination between treating health professionals. Lastly, women perceived a lack of available psychosocial support and resources for rural breast cancer survivors in their areas.Conclusions: Breast cancer survivors living outside major Australian cities have limited access to medical follow-up care, and psychosocial and lifestyle support programmes. There is a need for greater co-ordination of care between health professionals to improve communication and reduce patient and medical system burden. Finding solutions (such as eHealth options) could help to alleviate these barriers and improve follow-up care for rural breast cancer survivors. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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