Show simple item record

dc.contributor.authorRoundtree, Aimee K. ( Orcid Icon 0000-0002-6466-4805 )
dc.contributor.authorGiordano, Sharon H. ( Orcid Icon 0000-0002-8700-2767 )
dc.contributor.authorPrice, Andrea ( )
dc.contributor.authorSuarez-Almazor, Maria E. ( )
dc.date.accessioned2020-03-10T17:05:15Z
dc.date.available2020-03-10T17:05:15Z
dc.date.issued2011-12
dc.identifier.citationRoundtree, A. K., Giordano, S. H., Price, A., & Suarez-Almazor, M. E. (2011). Problems in transition and quality of care: Perspectives of breast cancer survivors. Supportive Care in Cancer, 19(12), pp. 1921-1929.en_US
dc.identifier.issn0941-4355
dc.identifier.urihttps://digital.library.txstate.edu/handle/10877/9365
dc.description.abstract

Purpose: We conducted a qualitative study to explore breast cancer survivors’ perceptions and attitudes about their current healthcare utilization, screening, and information needs.

Methods: We completed eight focus groups of breast cancer survivors. We included women, adult survivors, with an initial diagnosis of breast cancer in the year 2000, treated, and without a recurrence as per medical record. To analyze transcripts, we used grounded theory methods, wherein unexpected themes and direct answers emerged from consensus between co-coders.

Results: Focus groups included 33 participants, the majority of whom were white (84.8%), college-educated (66.7%), and covered by private medical insurance (75.7%) or Medicare (27.3%). Participants’ perceptions and attitudes about care were framed in terms of personal experiences (including facing barriers to screening, feeling in limbo in the healthcare system, having problems with communication with and between physicians, confusion about symptoms, and using self-prescribe remedies), personal attitudes (including strong opinions about what survivorship means, concerns about recurrence, and changes in self-perception and agency), and social influences (including modeling others’ behaviors, changes in social life, and listening to family).

Conclusion: Survivorship attitudes, recurrence fears, memories, and self-perceptions were influential personal factors in addition to self-efficacy. Solutions such as providing a cancer treatment summary might resolve many of the problems by consolidating and making readily available the numerous medical history and recommendations that survivors accrue over time, switching from provider to provider. Clinicians must also implement communication changes in their interactions with patients to enhance positive attitudes and behaviors, and leverage social influences.

en_US
dc.formatText
dc.format.extent16 pages
dc.format.medium1 file (.pdf)
dc.language.isoen_USen_US
dc.publisherSpringer-Verlagen_US
dc.sourceSupportive Care in Cancer, 2011, Vol. 19, No. 12, pp. 1921-1929.
dc.subjectQualitativeen_US
dc.subjectBreast cancer survivors
dc.subjectHealthcare transition
dc.titleProblems in Transition and Quality of Care: Perspectives of Breast Cancer Survivorsen_US
txstate.documenttypeArticle
dc.description.versionThis is the accepted manuscript version of an article published in Supportive Care in Cancer.
dc.identifier.doihttps://doi.org/10.1007/s00520-010-1031-6
txstate.departmentEnglish


Download

Thumbnail

This item appears in the following Collection(s)

Show simple item record