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Providing cancer services to remote and rural areas: consensus study

There is controversy about how cancer care should be provided to patients in remote and rural areas. The aim of this project was to measure consensus among health professionals who treat rural patients with cancer about priorities for cancer care. A modified Delphi process was used. Of 78 health pro...

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Autores principales: Stevenson, L, Campbell, N C, Kiehlmann, P A
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2394474/
https://www.ncbi.nlm.nih.gov/pubmed/12942111
http://dx.doi.org/10.1038/sj.bjc.6601166
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author Stevenson, L
Campbell, N C
Kiehlmann, P A
author_facet Stevenson, L
Campbell, N C
Kiehlmann, P A
author_sort Stevenson, L
collection PubMed
description There is controversy about how cancer care should be provided to patients in remote and rural areas. The aim of this project was to measure consensus among health professionals who treat rural patients with cancer about priorities for cancer care. A modified Delphi process was used. Of 78 health professionals in Grampian, 62 responded (79%). Of 49 items suggested, there was agreement on 26 (53%), encompassing fast access to diagnosis, high-quality specialist treatment, and well-coordinated delivery of care with good and fast communication and effective team working between all health professionals involved. Specialist oncology nurses in local hospitals were considered a priority along with good facilities, accommodation, and transport for patients. There was no agreement on the best location for chemotherapy (local or central). The only large difference of opinion between participants based in primary and secondary care concerned chemotherapy provision at local community hospitals (primary care was in favour, hospital practitioners against, P<0.001). In making their decisions, participants took problems of access into account, but were also concerned with quality of care and feasibility in the current health service. Our findings show that more evidence is needed regarding the balance of risks and benefits of local chemotherapy provision. Overall, however, there is agreement on many principles for cancer care that could be translated into practice.
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spelling pubmed-23944742009-09-10 Providing cancer services to remote and rural areas: consensus study Stevenson, L Campbell, N C Kiehlmann, P A Br J Cancer Clinical There is controversy about how cancer care should be provided to patients in remote and rural areas. The aim of this project was to measure consensus among health professionals who treat rural patients with cancer about priorities for cancer care. A modified Delphi process was used. Of 78 health professionals in Grampian, 62 responded (79%). Of 49 items suggested, there was agreement on 26 (53%), encompassing fast access to diagnosis, high-quality specialist treatment, and well-coordinated delivery of care with good and fast communication and effective team working between all health professionals involved. Specialist oncology nurses in local hospitals were considered a priority along with good facilities, accommodation, and transport for patients. There was no agreement on the best location for chemotherapy (local or central). The only large difference of opinion between participants based in primary and secondary care concerned chemotherapy provision at local community hospitals (primary care was in favour, hospital practitioners against, P<0.001). In making their decisions, participants took problems of access into account, but were also concerned with quality of care and feasibility in the current health service. Our findings show that more evidence is needed regarding the balance of risks and benefits of local chemotherapy provision. Overall, however, there is agreement on many principles for cancer care that could be translated into practice. Nature Publishing Group 2003-09-01 2003-08-26 /pmc/articles/PMC2394474/ /pubmed/12942111 http://dx.doi.org/10.1038/sj.bjc.6601166 Text en Copyright © 2003 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical
Stevenson, L
Campbell, N C
Kiehlmann, P A
Providing cancer services to remote and rural areas: consensus study
title Providing cancer services to remote and rural areas: consensus study
title_full Providing cancer services to remote and rural areas: consensus study
title_fullStr Providing cancer services to remote and rural areas: consensus study
title_full_unstemmed Providing cancer services to remote and rural areas: consensus study
title_short Providing cancer services to remote and rural areas: consensus study
title_sort providing cancer services to remote and rural areas: consensus study
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2394474/
https://www.ncbi.nlm.nih.gov/pubmed/12942111
http://dx.doi.org/10.1038/sj.bjc.6601166
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