Follow-up care after breast cancer treatment: experiences and perceptions of service provision and provider interactions in rural Australian women.

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dc.contributor.author Lawler, S
dc.contributor.author Spathonis, K
dc.contributor.author Masters, J
dc.contributor.author Adams, J
dc.contributor.author Eakin, E
dc.date.accessioned 2012-10-12T03:34:23Z
dc.date.issued 2011-12
dc.identifier.citation Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2011, 19 (12), pp. 1975 - 1982
dc.identifier.issn 0941-4355
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/18581
dc.description.abstract 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.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1007/s00520-010-1041-4
dc.title Follow-up care after breast cancer treatment: experiences and perceptions of service provision and provider interactions in rural Australian women.
dc.type Journal Article
dc.parent Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
dc.journal.volume 12
dc.journal.volume 19
dc.journal.number 12 en_US
dc.publocation Germany en_US
dc.identifier.startpage 1975 en_US
dc.identifier.endpage 1982 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111299 Oncology and Carcinogenesis Not Elsewhere Classified
dc.for 111004 Clinical Nursing: Tertiary (Rehabilitative)
dc.personcode 112076
dc.percentage 50 en_US
dc.classification.name Clinical Nursing: Tertiary (Rehabilitative) en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Breast cancer survivors, Follow-up care, Rural, en_US
dc.description.keywords Humans
dc.description.keywords Breast Neoplasms
dc.description.keywords Professional-Patient Relations
dc.description.keywords Adult
dc.description.keywords Aged
dc.description.keywords Middle Aged
dc.description.keywords Survivors
dc.description.keywords Rural Population
dc.description.keywords Patient Satisfaction
dc.description.keywords Continuity of Patient Care
dc.description.keywords Australia
dc.description.keywords Female
dc.description.keywords Interviews as Topic
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)


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