Título del libro: Relational Concepts In Medicine
Título del capítulo: Is Breast Cancer Delay Really the Patient?s Fault?
KARLA UNGER SALDAÑA; CLAUDIA BEGOÑA INFANTE CASTAÑEDA;
Autores externos:
Idioma:
Año de publicación:
2020
Palabras clave:
access to care; Breast cancer; delay; health service utilisation; help-seeking; illness behaviour
Resumen:
Breast cancer delay is defined as more than three months between symptom discovery and the beginning of definitive treatment. It has been artificially divided in two problems: patient delay -between symptom discovery and the first medical consultation- and provider delay -between the first medical consultation and the beginning of treatment-. Research to date has focused on the former and has attributed delay mainly to patients? untimely medical attention-seeking behaviour. The present study uses mixed-methods in order to quantify delay intervals and explain the way that social and health services factors influence delayed medical attention of breast cancer patients treated at the National Cancer Institute of Mexico. Seventeen in-depth interviews were done to identify sources of delay from the patients? perspective. A questionnaire was developed to quantify delay and applied as a pilot study to 125 patients. The time from symptom discovery to the beginning of cancer treatment had a median value of 247.5 days. There was no delay in only 5.3% cases. There was patient delay in 23.5% cases while there was provider delay greater than three months in 80% patients. The main factors contributing to delay were socioeconomic factors, health services access barriers and medical diagnosis errors. © (year), (Publisher Name). All rights reserved.
Entidades citadas de la UNAM:
ISBN:
9781848880733
Editorial:
Brill Nombre de la publicación:
Is Breast Cancer Delay Really the Patient?s Fault?
Página inicial:
29
Página final:
40
