Explaining time elapsed prior to cancer diagnosis: patients' perspectives

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dc.contributor.authorBrousselle, Astrid
dc.contributor.authorBreton, Mylaine
dc.contributor.authorBenhadj, Lynda
dc.contributor.authorTremblay, Dominique
dc.contributor.authorProvost, Sylvie
dc.contributor.authorRoberge, Danièle
dc.contributor.authorPineault, Raynald
dc.contributor.authorTousignant, Pierre
dc.date.accessioned2021-02-24T00:00:52Z
dc.date.available2021-02-24T00:00:52Z
dc.date.copyright2017en_US
dc.date.issued2017
dc.description.abstractBackground: 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.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe 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.identifier.citationBrousselle, 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.urihttps://doi.org/10.1186/s12913-017-2390-1
dc.identifier.urihttp://hdl.handle.net/1828/12709
dc.language.isoenen_US
dc.publisherBMC Health Services Researchen_US
dc.subjectCancer
dc.subjectEarly diagnosis
dc.subjectPrimary care
dc.subject.departmentSchool of Public Administration
dc.titleExplaining time elapsed prior to cancer diagnosis: patients' perspectivesen_US
dc.typeArticleen_US

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