The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia

Background: People living in rural areas who have a diagnosis of cancer have poorer outcomes than people living in urban centers. The reasons for this are unclear. Little is known about the impact that living in a rural area has on the diagnosis and treatment decisions of these people and how these...

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Main Authors: Mcconigley, Ruth, Holloway, Kristi, Smith, J., Halkett, Georgia, Keyser, J., Aoun, Samar, Monterosso, Leanne
Format: Journal Article
Published: Lippincott Williams & Wilkins 2010
Online Access:http://hdl.handle.net/20.500.11937/11868
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author Mcconigley, Ruth
Holloway, Kristi
Smith, J.
Halkett, Georgia
Keyser, J.
Aoun, Samar
Monterosso, Leanne
author_facet Mcconigley, Ruth
Holloway, Kristi
Smith, J.
Halkett, Georgia
Keyser, J.
Aoun, Samar
Monterosso, Leanne
author_sort Mcconigley, Ruth
building Curtin Institutional Repository
collection Online Access
description Background: People living in rural areas who have a diagnosis of cancer have poorer outcomes than people living in urban centers. The reasons for this are unclear. Little is known about the impact that living in a rural area has on the diagnosis and treatment decisions of these people and how these may in turn impact on care outcomes. Objectives: This study explored the reasons why people living in rural areas may delay diagnosis and what issues affected the decisions they made regarding their cancer treatment. Methods: In depth, semistructured interviews were conducted with 18 participants from 3 rural Western Australian health regions. Content analysis was used to develop themes.Results: Four themes were identified to describe the rural cancer experience. The first 3 themes, Experiences of Diagnosis and Referral, The Treatment Journey, and Managing your own Care, relate to the experiences of rural cancer patients during their journey through the health care system. The final overarching theme, Implicit Faith, described the level of confidence that rural cancer patients had in the health system, often despite delays and inconveniences. Conclusions: There is a need to improve primary health care and care coordination for rural cancer patients living in Australia and to promote self-advocacy and consumer empowerment for rural cancer patients. Implications for Practice: Rural patients need help and support throughout their cancer journey, including through the process of diagnosis.
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spelling curtin-20.500.11937-118682019-02-19T05:35:29Z The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia Mcconigley, Ruth Holloway, Kristi Smith, J. Halkett, Georgia Keyser, J. Aoun, Samar Monterosso, Leanne Background: People living in rural areas who have a diagnosis of cancer have poorer outcomes than people living in urban centers. The reasons for this are unclear. Little is known about the impact that living in a rural area has on the diagnosis and treatment decisions of these people and how these may in turn impact on care outcomes. Objectives: This study explored the reasons why people living in rural areas may delay diagnosis and what issues affected the decisions they made regarding their cancer treatment. Methods: In depth, semistructured interviews were conducted with 18 participants from 3 rural Western Australian health regions. Content analysis was used to develop themes.Results: Four themes were identified to describe the rural cancer experience. The first 3 themes, Experiences of Diagnosis and Referral, The Treatment Journey, and Managing your own Care, relate to the experiences of rural cancer patients during their journey through the health care system. The final overarching theme, Implicit Faith, described the level of confidence that rural cancer patients had in the health system, often despite delays and inconveniences. Conclusions: There is a need to improve primary health care and care coordination for rural cancer patients living in Australia and to promote self-advocacy and consumer empowerment for rural cancer patients. Implications for Practice: Rural patients need help and support throughout their cancer journey, including through the process of diagnosis. 2010 Journal Article http://hdl.handle.net/20.500.11937/11868 10.1097/NCC.0b013e3181f795e7 Lippincott Williams & Wilkins fulltext
spellingShingle Mcconigley, Ruth
Holloway, Kristi
Smith, J.
Halkett, Georgia
Keyser, J.
Aoun, Samar
Monterosso, Leanne
The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title_full The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title_fullStr The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title_full_unstemmed The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title_short The Diagnosis and Treatment Decisions of Cancer Patients in Rural Western Australia
title_sort diagnosis and treatment decisions of cancer patients in rural western australia
url http://hdl.handle.net/20.500.11937/11868