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How rural and urban patients in Australia with colorectal or breast cancer experience choice of treatment provider: a qualitative study
journal contribution
posted on 2017-02-01, 00:00 authored by R Bergin, J Emery, R Bollard, Vicki WhiteVicki WhiteModern 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.
History
Journal
European journal of cancer careVolume
26Issue
6Season
Special Issue: Themed section: Bone health and cancerArticle number
e12646Pagination
1 - 10Publisher
WileyLocation
Chichester, Eng.Publisher DOI
ISSN
0961-5423eISSN
1365-2354Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2017, WileyUsage metrics
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