Explaining time elapsed prior to cancer diagnosis: patients' perspectives

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dc.contributor.author Brousselle, Astrid
dc.contributor.author Breton, Mylaine
dc.contributor.author Benhadj, Lynda
dc.contributor.author Tremblay, Dominique
dc.contributor.author Provost, Sylvie
dc.contributor.author Roberge, Danièle
dc.contributor.author Pineault, Raynald
dc.contributor.author Tousignant, Pierre
dc.date.accessioned 2021-02-24T00:00:52Z
dc.date.available 2021-02-24T00:00:52Z
dc.date.copyright 2017 en_US
dc.date.issued 2017
dc.identifier.citation Brousselle, A., Breton, M., Benhadj, L., Tremblay, D., Provost, S., Roberge, D., … Tousignant, P. (2017). Explaining time elapsed prior to cancer diagnosis: patients’ perspectives. BMC Health Services Research, 17, 1-14. https://doi.org/10.1186/s12913-017-2390-1. en_US
dc.identifier.uri https://doi.org/10.1186/s12913-017-2390-1
dc.identifier.uri http://hdl.handle.net/1828/12709
dc.description.abstract Background: Cancer is the leading cause of death in Canada. Early cancer diagnosis could improve patients’ prognosis and quality of life. This study aimed to analyze the factors influencing elapsed time between the first help-seeking trigger and cancer diagnosis with respect to the three most common and deadliest cancer types: lung, breast, and colorectal. Methods: This paper presents the qualitative component of a larger project based on a sequential explanatory design. Twenty-two patients diagnosed were interviewed, between 2011 to 2013, in oncology clinics of four hospitals in the two most populous regions in Quebec (Canada). Transcripts were analyzed using the Model of Pathways to Treatment. Results: Pre-diagnosis elapsed time and phases are difficult to appraise precisely and vary according to cancer sites and symptoms specificity. This observation makes the Model of Pathways to Treatment challenging to use to analyze patients’ experiences. Analyses identified factors contributing to elapsed time that are linked to type of cancer, to patients, and to health system organization. Conclusions: This research allowed us to identify avenues for reducing the intervals between first symptoms and cancer diagnosis. The existence of inequities in access to diagnostic services, even in a universal healthcare system, was highlighted. en_US
dc.description.sponsorship The authors are grateful to the Fonds de Recherche du Québec – Santé (FRQ-S) for its financial support to this research project. We would also like to thank the Fonds de Recherche du Québec – Santé (FRQ-S) and the Canadian Institutes of Health Research (CIHR), which fund Astrid Brousselle’s Canada Research Chair in Evaluation and Health System Improvement and Dominique Tremblay’s research fellowship. en_US
dc.language.iso en en_US
dc.publisher BMC Health Services Research en_US
dc.subject Cancer en_US
dc.subject Early diagnosis en_US
dc.subject Primary care en_US
dc.title Explaining time elapsed prior to cancer diagnosis: patients' perspectives en_US
dc.type Article en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US

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