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Lung cancer: an exploration of patient and general practitioner perspectives on the realities of care in rural Western Australia.
Aust J Rural Health 2008; 16(6):355-62AJ

Abstract

OBJECTIVE

This study investigates if the pattern of diagnostic testing for suspected lung cancer, stage at diagnosis, patterns of specialist referral and treatment options offered to people in rural Western Australia are similar to those in the metropolitan area. It then explores the barriers to quality care in rural areas as perceived by GPs and patients.

METHODS

There was a review of GP records to obtain clinical and referral information and an in-depth interview with patients and GPs concerning their perspectives of the quality of care.

RESULTS/DISCUSSION

We selected age and sex-matched samples of 22 rural and 21 metropolitan patients. Rural patients had more symptoms and took longer to consult their GPs, leading to later diagnosis and fewer treatment options. They experienced longer waits for specialist consultation and underwent less diagnostic testing. The GPs always referred lung cancer patients to a specialist, usually a respiratory physician. Teaching hospitals were preferred because of their comprehensive facilities and multidisciplinary teams. Rural GPs reported distance, time and availability of appointments as barriers; they also raised concerns about late confirmation of diagnosis. Rural and metropolitan patients were equally satisfied with their quality of care, but rural patients desired more information and better communication between hospital and GPs. Facilities for rural patients at some metropolitan hospitals were criticised. In conclusion, rural patients received a different care pattern from metropolitan patients and they and their GPs raised concerns about the equity and quality of lung cancer care.

Authors+Show Affiliations

School of Population Health, University of Western Australia, Crawley, Western Australia, Australia. sonj.hall@uq.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19032208

Citation

Hall, Sonĵa E., et al. "Lung Cancer: an Exploration of Patient and General Practitioner Perspectives On the Realities of Care in Rural Western Australia." The Australian Journal of Rural Health, vol. 16, no. 6, 2008, pp. 355-62.
Hall SE, Holman CD, Threlfall T, et al. Lung cancer: an exploration of patient and general practitioner perspectives on the realities of care in rural Western Australia. Aust J Rural Health. 2008;16(6):355-62.
Hall, S. E., Holman, C. D., Threlfall, T., Sheiner, H., Phillips, M., Katriss, P., & Forbes, S. (2008). Lung cancer: an exploration of patient and general practitioner perspectives on the realities of care in rural Western Australia. The Australian Journal of Rural Health, 16(6), pp. 355-62. doi:10.1111/j.1440-1584.2008.01016.x.
Hall SE, et al. Lung Cancer: an Exploration of Patient and General Practitioner Perspectives On the Realities of Care in Rural Western Australia. Aust J Rural Health. 2008;16(6):355-62. PubMed PMID: 19032208.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lung cancer: an exploration of patient and general practitioner perspectives on the realities of care in rural Western Australia. AU - Hall,Sonĵa E, AU - Holman,C D'Arcy J, AU - Threlfall,Timothy, AU - Sheiner,Harry, AU - Phillips,Martin, AU - Katriss,Paul, AU - Forbes,Suzanne, PY - 2008/11/27/pubmed PY - 2009/2/14/medline PY - 2008/11/27/entrez SP - 355 EP - 62 JF - The Australian journal of rural health JO - Aust J Rural Health VL - 16 IS - 6 N2 - OBJECTIVE: This study investigates if the pattern of diagnostic testing for suspected lung cancer, stage at diagnosis, patterns of specialist referral and treatment options offered to people in rural Western Australia are similar to those in the metropolitan area. It then explores the barriers to quality care in rural areas as perceived by GPs and patients. METHODS: There was a review of GP records to obtain clinical and referral information and an in-depth interview with patients and GPs concerning their perspectives of the quality of care. RESULTS/DISCUSSION: We selected age and sex-matched samples of 22 rural and 21 metropolitan patients. Rural patients had more symptoms and took longer to consult their GPs, leading to later diagnosis and fewer treatment options. They experienced longer waits for specialist consultation and underwent less diagnostic testing. The GPs always referred lung cancer patients to a specialist, usually a respiratory physician. Teaching hospitals were preferred because of their comprehensive facilities and multidisciplinary teams. Rural GPs reported distance, time and availability of appointments as barriers; they also raised concerns about late confirmation of diagnosis. Rural and metropolitan patients were equally satisfied with their quality of care, but rural patients desired more information and better communication between hospital and GPs. Facilities for rural patients at some metropolitan hospitals were criticised. In conclusion, rural patients received a different care pattern from metropolitan patients and they and their GPs raised concerns about the equity and quality of lung cancer care. SN - 1440-1584 UR - https://www.unboundmedicine.com/medline/citation/19032208/Lung_cancer:_an_exploration_of_patient_and_general_practitioner_perspectives_on_the_realities_of_care_in_rural_Western_Australia_ L2 - https://doi.org/10.1111/j.1440-1584.2008.01016.x DB - PRIME DP - Unbound Medicine ER -