Discussions with patients about referral pathways and costs in the diagnosis and treatment of colorectal cancer in Victoria, Australia.
Aust J Gen Pract
; 53(1-2): 70-77, 2024.
Article
em En
| MEDLINE
| ID: mdl-38316485
ABSTRACT
BACKGROUND AND OBJECTIVES:
Colorectal cancer (CRC) survival in Australia differs by health insurance status, but why this occurs is uncertain. There are growing concerns about out-of-pocket healthcare costs. We examined patient experiences of referral pathways to diagnosis and treatment of CRC in Victoria, Australia, and discussions about costs, comparing public, private and mixed healthcare system users.METHOD:
Semistructured telephone interviews were conducted with 16 purposively sampled, English-speaking patients aged ≥40 years with CRC. Interviews were recorded, transcribed and analysed thematically.RESULTS:
Private patients described greater out-of-pocket expenses balanced by greater choice of provider and access. Public patients perceived limited choice in their diagnostic or treatment provider, although some considered switching systems. Patients trusted their general practitioner or specialist for referrals. Discussions about costs did not meet guideline recommendations.DISCUSSION:
There are limited opportunities for informed decision making about public versus private care for cancer diagnosis and treatment, which could contribute to inequalities in outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Atenção à Saúde
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Aust J Gen Pract
Ano de publicação:
2024
Tipo de documento:
Article