PMID- 24483272
OWN - NLM
STAT- MEDLINE
DCOM- 20160624
LR  - 20220316
IS  - 1748-0361 (Electronic)
IS  - 0890-765X (Linking)
VI  - 30
IP  - 3
DP  - 2014 Summer
TI  - Access to medical and supportive care for rural and remote cancer survivors in 
      northern British Columbia.
PG  - 311-21
LID - 10.1111/jrh.12064 [doi]
AB  - BACKGROUND: Rural cancer survivors (RCS) potentially have unique medical and 
      supportive care experiences when they return to their communities posttreatment 
      because of the availability and accessibility of health services. However, there 
      is a limited understanding of cancer survivorship in rural communities. PURPOSE: 
      The purpose of this study is to describe RCS experiences accessing medical and 
      supportive care postcancer treatment. METHODS: Interviews and focus groups were 
      conducted with 52 RCS residing in northern British Columbia, Canada. The data 
      were analyzed using qualitative content analysis methods. RESULTS: General 
      Population RCS and First Nations RCS experienced challenges accessing timely 
      medical care close to home, resulting in unmet medical needs. Emotional support 
      services were rarely available, and, if they did exist, were difficult to access 
      or not tailored to cancer survivors. Travel and distance were barriers to medical 
      and psychological support and services, not only in terms of the cost of travel, 
      but also the toll this took on family members. Many of the RCS lacked access to 
      trusted and useful information. Financial assistance, for follow-up care and 
      rehabilitation services, was rarely available, as was appropriate employment 
      assistance. CONCLUSION: Medical and supportive care can be inaccessible, 
      unavailable, and unaffordable for cancer survivors living in rural northern 
      communities.
CI  - (c) 2014 National Rural Health Association.
FAU - Fuchsia Howard, A
AU  - Fuchsia Howard A
AD  - School of Population and Public Health, University of British Columbia, 
      Vancouver, Canada.
FAU - Smillie, Kirsten
AU  - Smillie K
FAU - Turnbull, Kristin
AU  - Turnbull K
FAU - Zirul, Chelan
AU  - Zirul C
FAU - Munroe, Dana
AU  - Munroe D
FAU - Ward, Amanda
AU  - Ward A
FAU - Tobin, Pam
AU  - Tobin P
FAU - Kazanjian, Arminee
AU  - Kazanjian A
FAU - Olson, Rob
AU  - Olson R
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140201
PL  - England
TA  - J Rural Health
JT  - The Journal of rural health : official journal of the American Rural Health 
      Association and the National Rural Health Care Association
JID - 8508122
SB  - IM
MH  - British Columbia/epidemiology
MH  - Female
MH  - Focus Groups
MH  - *Health Services Accessibility
MH  - *Health Services Needs and Demand
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - Neoplasms/epidemiology/*therapy
MH  - Qualitative Research
MH  - *Rural Population
MH  - *Survivors
OTO - NOTNLM
OT  - access to care
OT  - cancer
OT  - geography
OT  - qualitative research
OT  - rural health
EDAT- 2014/02/04 06:00
MHDA- 2016/06/25 06:00
CRDT- 2014/02/04 06:00
PHST- 2014/02/04 06:00 [entrez]
PHST- 2014/02/04 06:00 [pubmed]
PHST- 2016/06/25 06:00 [medline]
AID - 10.1111/jrh.12064 [doi]
PST - ppublish
SO  - J Rural Health. 2014 Summer;30(3):311-21. doi: 10.1111/jrh.12064. Epub 2014 Feb 
      1.