Patient delays and system delays in breast cancer treatment in developed and developing countries

Freitas, Ângela Gabrielly Quirino; Weller, Mathias

doi:10.1590/1413-812320152010.19692014

Cited by 50 publications

(63 citation statements)

References 53 publications

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“…Moreover, a delayed diagnosis of cancer is more often found in middle- and low-income countries due to the limited availability and accessibility of health care. Patients’ ability and willingness to undertake action, which depends on their social-economic status, attitude, financial situation, culture, and religion, also play a role [2–5]. In addition, patients are often embarrassed to discuss abnormalities [4, 6] or lack trust in medical consultation [7].…”

Section: Introductionmentioning

confidence: 99%

The role of Indonesian patients’ health behaviors in delaying the diagnosis of nasopharyngeal carcinoma

et al. 2017

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BackgroundWith an estimated 13,000 newly diagnosed patients per year, nasopharyngeal carcinoma (NPC) is one of the most common types of cancer in males in Indonesia. Moreover, most patients are diagnosed at an advanced stage of the disease. This study aimed to explore the health behaviors of patients diagnosed with NPC and the possible causes of patient delay in NPC diagnosis.MethodsA qualitative research method was used to gain better insight into patient behaviors. Twelve patients were interviewed using semi-structured interview guidelines. All interviews were recorded, transcribed verbatim and analyzed according to a standard content analysis framework.ResultsMost patients had limited knowledge regarding NPC and its causes. Fifty percent of the patients had a delay of six months from the onset of symptoms to diagnosis. The main reason for this delay was the lack of awareness among the patients, which was influenced by their environment, economic status, family, culture, and religion. The perceived barriers to seeking medical help included direct non-medical costs not covered by health insurance, complex and time-consuming insurance and referral systems, and negative experiences in the past. Health insurance did motivate people to seek medical help.ConclusionThis study provides additional insight into patients’ motivations to delay seeking medical help and can facilitate the design of NPC education programs. To improve awareness of the abovementioned causes for delay, community-based education programs are highly warranted and should focus on the recognition of NPC symptoms and possible solutions to overcome the main barriers at an earlier disease stage.

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Section: Introductionmentioning

confidence: 99%

The role of Indonesian patients’ health behaviors in delaying the diagnosis of nasopharyngeal carcinoma

et al. 2017

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“…In Brazil, about 60% of cancer patients are diagnosed at an advanced stage. In the case of lung cancer, 87.9% of the cases are discovered late [16][17][18][19]. Therefore, it becomes imperative to improve the quality of care, to facilitate the access to palliative care and to promote equity in health services [20,21].…”

Section: Introductionmentioning

confidence: 99%

Needs for Palliative Care of Cancer Patients in Brazil: Analysis of Data from 2008-2014

Santos¹,

Caldas²,

Serafim³

et al. 2017

J Palliat Care Med

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“…All those problems cause delays in diagnosis and treatment. A study about delay in breast cancer diagnosis among developing countries was conducted and it showed that most of the delay for breast cancer diagnosis iscaused by healthcare systems (15). Although the delay time of Turkey is above the average, Turkey is still behind developed countries (16) (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Improvement of Breast Cancer Patient Pathway Using EUSOMA Standards and European Guidelines

Akdağ¹,

Cantürk²

2017

chr

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RezumatCozile din spitale afectează în mod direct calitatea vieţii umane şi ar trebui să aibă prioritate în comparaţie cu alte tipuri de cozi. Scopul acestei lucrări este de a dezvolta o nouă hartă a fluxului de valoare în sistem şi a traseului pacientului, pentru îmbunătăţirea calităţii şi diminuarea activităţilor cu valoare scăzută în îngrijirea bolnavilor de cancer de sân, care se adresează pacienţilor, doctorilor şi asistentelor medicale din secţia de radiologie a Spitalului Universitar de Formare şi Cercetare din Kocaeli, Turcia. În zilele noastre, din cauza cererii crescute mult peste nivelul resurselor, avem în serviciile de sănătate, în special datorită calităţii scăzute, cozi lungi în timpul procesului de diagnostic şi tratament. Pentru această lucrare datele sunt colectate cu ajutorul observaţiilor personale, a sistemului informatic şi a angajaţilor autorizaţi. Momentan sistemul de înregistrare şi cel informatic sunt insuficiente pentru a arăta corect situaţia actuală. Lucrarea de faţă relevă situaţia din acest moment a hărţii fluxului de valoare, arătând pas cu pas unde au loc obstrucţiile în cadrul fluxului precum şi modul în care pe viitor acestea pot fi depăşite şi ce beneficii specifice vor aduce sistemului de sănătate. Având în vedere toate aceste rezultate se recomandă expres spitalului aplicarea Regulilor Europene pentru asigurarea calităţii în screening-ul şi diagnosticarea cancerului de sân coroborate cu toate îmbunătăţirile sugerate mai sus folosind aplicaţiile "lean".Chirurgia (2017) AbstractQueues in hospitals are directly affecting the quality of human life, which should have priority compared to other types of queues. The aim of this paper is to design a future value stream map of the system and patient pathway in terms of quality improvement in order to decrease the non-value added activities for breast cancer patients, doctors and nurses for a radiology unit in a Training and Research University Hospital based in Kocaeli, Turkey. Nowadays, the increased demand versus insufficient sources affect healthcare services due to poor quality with long queues during the diagnosis and treatment processes. For this paper, data were collected from personal observations, information technologies units and authorized employees. Moreover, data tracking and keeping systems are too poor for revealing the current situation. This paper provides an example of a current and future value stream map showing step by step where the bottlenecks are and how it can be improved and what specific benefits it will bring to the healthcare system. In consideration of all these outcomes, it is highly suggested that the hospital apply European Guidelines for quality assurance in breast cancer screening and diagnosis together with the mentioned above improvement suggestions using lean applications.

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Patient delays and system delays in breast cancer treatment in developed and developing countries

Cited by 50 publications

References 53 publications

The role of Indonesian patients’ health behaviors in delaying the diagnosis of nasopharyngeal carcinoma

The role of Indonesian patients’ health behaviors in delaying the diagnosis of nasopharyngeal carcinoma

Needs for Palliative Care of Cancer Patients in Brazil: Analysis of Data from 2008-2014

Improvement of Breast Cancer Patient Pathway Using EUSOMA Standards and European Guidelines

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