Purposeto provide a bicultural perspective on the views of people who have completed cancer treatment and, of health providers.Design/methodology/approachQualitative study using semi-structured interviews with 29 individuals (people who had recently completed cancer treatment and health providers). General inductive analysis was undertaken with all interview data, and a Kaupapa Māori approach was employed with the data from Māori participants.FindingsThemes for Māori participants are as follows: (1) understanding health information is enhanced by connection and relationship; (2) the “professional” is personal and (3) enduring beyond cancer is “our” responsibility. Themes for non-Māori participants are as follows: (1) from survivorship to living with and beyond cancer; (2) from the hospital to primary care and (3) support for living with and beyond cancer.Practical implicationsPositive relationships, communication and self-determination are important for Māori making the transition from hospital to the community after cancer treatment. Well-coordinated processes and services are vital for supporting transitions from hospital to community for non-Māori living with and beyond cancer.Originality/valueThis research presents the diversity of Māori and non-Māori experiences of living with and beyond cancer, adding to the limited New Zealand literature regarding post-treatment supportive care. This paper is among the first to undertake separate interviews and thematic analyses of Māori and non-Māori experiences, and to report these separately. Determinants of positive survivorship experiences are identified, specifying a central and expanded role for cancer care services.
The purpose of this qualitative research was to (1) determine whether support services for people who have undergone treatment for head and neck cancer in Canterbury, New Zealand, align with current national and international guidelines and recommendations for best practice, (2) investigate the views of consumers and health service providers, about current support services and service needs, (3) develop recommendations for a coordinated support service. Interviews with consumers and with service providers, including multidisciplinary team members, were undertaken to collect information about support services for people with head and neck cancer in Canterbury. The analysis was undertaken in two stages. First, information was compared with current guidelines, and second, transcripts of interviews were analysed thematically, using a general inductive approach, to understand any issues arising for both consumers and providers. Comparison with guidelines identified many strengths and a few limitations of the current service compared with international best-practice. A number of other issues arose from the thematic analysis which suggested potential areas for improvement. Recommendations were made to support a best-practice, evidence-based coordinated support service for people with head and neck cancer in Canterbury. The method used to evaluate this service could be used in the evaluation of other intersectoral, multidisciplinary health services.
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