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"It is important that the process goes quickly, isn't it?” A qualitative multi-country study of colorectal or lung cancer patients' narratives of the timeliness of diagnosis and quality of care
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Malmström, M., Rasmussen, B. H., Bernhardson, B. M., Hajdarevic, S., Eriksson, L. E., Sand Andersen, R. and MacArtney, J. I. (2018) "It is important that the process goes quickly, isn't it?” A qualitative multi-country study of colorectal or lung cancer patients' narratives of the timeliness of diagnosis and quality of care. European Journal of Oncology Nursing, 34 . pp. 82-88. doi:10.1016/j.ejon.2018.04.002 ISSN 1532-2122.
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Official URL: https://doi.org/10.1016/j.ejon.2018.04.002
Abstract
Purpose
The emphasis on early diagnosis to improve cancer survival has been a key factor in the development of cancer pathways across Europe. The aim of this analysis was to explore how the emphasis on early diagnosis and timely treatment is reflected in patient's accounts of care, from the first suspicion of colorectal or lung cancer to their treatment in Denmark, England and Sweden.
Method
We recruited 155 patients in Denmark, England and Sweden who were within six months of being diagnosed with lung or colorectal cancer. Data were collected via semi-structured narrative interviews and analysed using a thematic approach.
Results
Participants’ accounts of quality of care were closely related to how quickly (or not) diagnosis, treatment and/or healthcare processes went. Kinetic metaphors as a description of care (such as treadmill) could be interpreted positively as participants were willing to forgo some degree of control and accept disruption to their lives to ensure more timely care. Drawing on wider cultural expectations of the benefits of diagnosing and treating cancer quickly, some participants were concerned that the waiting times between interventions might allow time for the cancer to grow.
Conclusions
Initiatives emphasising the timeliness of diagnosis and treatment are reflected in the ways some patients experience their care. However, these accounts were open to further contextualisation about what speed of healthcare processes meant for evaluating the quality of their care. Healthcare professionals could therefore be an important patient resource in providing reassurance and support about the timeliness of diagnosis or treatment.
| Item Type: | Journal Article | |||||||||||||||||||||||||||||||||||||||||||||
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| Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) | |||||||||||||||||||||||||||||||||||||||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Colon (Anatomy) -- Cancer -- Patients -- Interviews, Rectum -- Cancer -- Patients -- Interviews, Lungs -- Cancer -- Patients -- Interviews, Colon (Anatomy) -- Cancer -- Diagnosis, Rectum -- Cancer -- Diagnosis, Lungs -- Cancer -- Diagnosis | |||||||||||||||||||||||||||||||||||||||||||||
| Journal or Publication Title: | European Journal of Oncology Nursing | |||||||||||||||||||||||||||||||||||||||||||||
| Publisher: | Elsevier | |||||||||||||||||||||||||||||||||||||||||||||
| ISSN: | 1532-2122 | |||||||||||||||||||||||||||||||||||||||||||||
| Official Date: | June 2018 | |||||||||||||||||||||||||||||||||||||||||||||
| Dates: |
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| Volume: | 34 | |||||||||||||||||||||||||||||||||||||||||||||
| Page Range: | pp. 82-88 | |||||||||||||||||||||||||||||||||||||||||||||
| DOI: | 10.1016/j.ejon.2018.04.002 | |||||||||||||||||||||||||||||||||||||||||||||
| Status: | Peer Reviewed | |||||||||||||||||||||||||||||||||||||||||||||
| Publication Status: | Published | |||||||||||||||||||||||||||||||||||||||||||||
| Access rights to Published version: | Restricted or Subscription Access | |||||||||||||||||||||||||||||||||||||||||||||
| Date of first compliant deposit: | 11 April 2018 | |||||||||||||||||||||||||||||||||||||||||||||
| Date of first compliant Open Access: | 17 April 2019 | |||||||||||||||||||||||||||||||||||||||||||||
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