The role of patient and physician advocacy in reducing wait times for cancer care: a qualitative analysis

Abstract

Background: There is growing interest in the role of physician as health advocate; however, few studies have documented advocacy from the patient's perspective. To address this gap, we examined the experiences of patients with cancer from the onset of symptoms to the start of treatment in Newfoundland and Labrador and aimed to describe wait times and efforts to improve timeliness of care from the patients' perspective. Methods:We conducted qualitative interviews with 60 participants aged 19 years or more with breast, colorectal, lung or prostate cancer who were recruited from a survey of patients with cancer that was carried out as an earlier part of a larger study. All survey participants had received care at regional cancer clinics in Newfoundland and Labrador and were selected by means of purposive sampling based on their type of cancer, level of satisfaction with care and place of residence (urban, semiurban or rural). Interviews were transcribed verbatim and coded by means of a thematic approach.Results: Participants described actions taken by themselves, their families/friends or members of their health care team to reduce their wait for a diagnosis and/or treatment. In all instances, participants believed that these actions resulted in more timely care. Participants reported that "insider knowledge" of health care professionals (whether friends, family members or members of the care team) was particularly valuable in reducing delays. Interpretation:The use of advocacy was relatively commonplace. The role of advocacy, whether it originates from patient or caregiver, is important to ensure access to timely, good-quality cancer care. Abstract Research E774CMAJ OPEN, 5(4)

Experiences along the diagnostic pathway for patients with advanced lung cancer in the USA: a qualitative study

“…This finding is consistent with the role of self-advocacy in improving the quality of care for patients with cancer. 24 25 Previous studies suggested dismissive responses from PCPs may impact patients’ decisions to consult care again. 26 27 In contrast, our participants reported persistence and at times sought other providers.…”

Relationship Between Patient Satisfaction and Willingness to Comply With Physicians’ Recommendation in Referral Surgical Outpatient Clinic in Nigeria

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