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Geographic disparities in access to cancer care: do patients in outlying areas talk about their access problems to their general practitioners and medical oncologists and how does that impact on the choice of chemotherapy?

2013; Wiley; Volume: 22; Issue: 6 Linguagem: Inglês

10.1111/ecc.12096

1365-2354

Philippe Groux, Thomas D. Szucs,

Cancer survivorship and care

European Journal of Cancer CareVolume 22, Issue 6 p. 746-753 Original article Geographic disparities in access to cancer care: do patients in outlying areas talk about their access problems to their general practitioners and medical oncologists and how does that impact on the choice of chemotherapy? P. Groux PhD, MPh, Corresponding Author P. Groux PhD, MPh kundengerecht.ch GmbH, Huttwil, SwitzerlandCorrespondence address: Philippe Groux, Kundengerecht.ch GmbH, Alpenstrasse 22, 4950 Huttwil, Switzerland (e-mail: philippe.groux@kundengerecht.ch).Search for more papers by this authorT. Szucs MD, MBA, MPh, LLM, T. Szucs MD, MBA, MPh, LLM European Center of Pharmaceutical Medicine, Basel, SwitzerlandSearch for more papers by this author P. Groux PhD, MPh, Corresponding Author P. Groux PhD, MPh kundengerecht.ch GmbH, Huttwil, SwitzerlandCorrespondence address: Philippe Groux, Kundengerecht.ch GmbH, Alpenstrasse 22, 4950 Huttwil, Switzerland (e-mail: philippe.groux@kundengerecht.ch).Search for more papers by this authorT. Szucs MD, MBA, MPh, LLM, T. Szucs MD, MBA, MPh, LLM European Center of Pharmaceutical Medicine, Basel, SwitzerlandSearch for more papers by this author First published: 22 July 2013 https://doi.org/10.1111/ecc.12096Citations: 4Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Geographic disparities in access to cancer care have been reported for several countries. The distance between the place of residence and the cancer care centre can be one cause of these disparities. Solutions to surmount the barriers can be found if patients talk about this to their care professionals. We investigated whether patients in Valais talk with their physicians about difficulties to access cancer care. We interviewed five general practitioners and five medical oncologists in Valais with semi-structured interviews to identify difficulties patients are talking about. Medical oncologists were also interviewed on their habits to adapt chemotherapy to access problems of their patients. Cancer patients in Valais do talk about their access problems. Medical oncologists in Valais do take access problems into account when discussing therapeutic options with the patients and use the scope they have within their therapeutic options. In Valais the family of cancer patients play an important role in access to cancer care. Special offers are in place when social support is insufficient. Whether some socio-economic minorities do not use the solutions in place cannot be answered and should be investigated in further studies. Citing Literature Volume22, Issue6November 2013Pages 746-753 RelatedInformation