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Psychooncology. 2019 May;28(5):1018-1024. doi: 10.1002/pon.5035. Epub 2019 Mar 18.

Comparing provider and patient views of issues for low-resourced breast cancer patients.

Author information

1
Public Health Department, UT Health Science Center at Houston, Houston, Texas.
2
Community Health Sciences, Boston University, Boston, Massachusetts.
3
Department of Public Health, University of Tennessee, Knoxville, Tennessee.
4
Living Beyond Breast Cancer, Program Administration, Bala Cynwyd, Pennsylvania.
5
Department of Bioethics and Humanities, University of Washington, Seattle, Washington.

Abstract

OBJECTIVE:

The purpose of this study was to compare provider and patient views from the same clinical settings on issues raised by low-socioeconomic status (SES) breast cancer survivors.

METHODS:

We conducted qualitative interviews among two groups: low-SES breast cancer survivors (n = 37) and medical personnel (ie, physicians, nurses, and navigators; n = 8) who interact and serve with these patients from two geographically distinct low-resourced clinical settings. These semistructured qualitative interviews used grounded theory to identify several potential themes, such as finances, resources, and medical care. Transcripts were coded and summarized into themes.

RESULTS:

We analyzed each type of interview data separately then compared patient and provider perspectives. From these qualitative interviews, we discovered that low-SES breast cancer survivors reported many unmet needs, including transportation, housing, health literacy, and language, among others. Providers reported that many of these needs are served by the extensive network of supports surrounding these patients.

CONCLUSIONS:

These results illustrate that low-SES breast cancer survivors have unique needs that differ from other breast cancer survivors. Many providers feel that these needs are being met, but patients have more diverse experiences. By better addressing the links between resource needs and low-SES breast cancer survivors, quality of life can be improved.

KEYWORDS:

comparative interviews; low-resourced settings; patients; poverty; providers

PMID:
30785226
DOI:
10.1002/pon.5035

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