ArticleInternational journal of general medicine2022
Barriers to Accessing, Commencing and Completing Cancer Treatment Among Geriatric Patients in Rural Australia: A Qualitative Perspective.
Article in International journal of general medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A systematic review on the qualitative experiences of people living with lung cancer in rural areas.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- Needs of Rural Caregivers of Patients With Cancer: A Scoping Review of Evidence From North America, Europe, and Australia.Psycho-oncology · 2026Article
- Survivability in patients with rare sigmoid colon adenocarcinoma variants: exploring the influence of rural-urban continuum codes and social determinants of health in the USA.Cancer causes & control : CCC · 2026Article
- Bridging the communication gap in foregut cancer: A qualitative exploration of patient and caregiver perspectives.Surgical oncology insight · 2026Article
- Towards equitable cancer outcomes for rural and remote communities: reflections, lessons and recommendations.The Lancet regional health. Western Pacific · 2026Review
- Factors of caregiver support under integrated care for older adults in rural areas: a scoping review.Frontiers in public health · 2026Article
- A 24-Year Analysis of Percutaneous Renal Biopsy Trends in Australia.Medical sciences (Basel, Switzerland) · 2025Article
- Facilitators to oncological care in foregut cancer: The patient perspective.Surgical oncology insight · 2025Article
- A qualitative descriptive study on the perspectives and experiences of multidisciplinary HCPs in providing nutritional care to older adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Guiding principles for health equity in oncology: insights from patient organizations from the Middle East and Africa.Frontiers in health services · 2025Article
- Accessibility of occupational therapy treatment for at-risk children in low- to middle-income countries: A scoping review.African journal of disability · 2025Review
- A qualitative exploration of the pathway to diagnosis and treatment of cutaneous squamous cell carcinoma of the head and neck with perineural spread.Cancer medicine · 2024Article
- Rural and Urban patients' Requirements and Experiences of Out-of-hours medical care after cancer (RUREO): a questionnaire study.BMJ open · 2023Article
- Mental health, functional impairment, and barriers to mental health access among cancer patients in Vietnam.Psycho-oncology · 2023Article
- Providing geriatric oncology care using telemedicine for older patients with cancer during the COVID-19 pandemic in Mexico.Ecancermedicalscience · 2023Article
- The Mediating Effects of Resilience on Perceived Social Support and Fear of Cancer Recurrence in Glioma Patients.Psychology research and behavior management · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo explore patients', caregivers', and health professionals' perspectives on barriers and challenges to accessing, commencing and completing cancer therapy, with a focus on geriatric patients and the impacts of comorbidities and rurality. PATIENTS AND
methodsA qualitative sub-study using focus group discussions was conducted in a regional cancer center and one of its outreach clinics in rural New South Wales, Australia. Five discussions with three distinct cohorts were undertaken, including: 1) geriatric cancer patients (two discussions); 2) caregivers (two discussions); and 3) health professionals (one discussion). Each focus group comprised eight to ten participants. A question guide was used to elicit participants' experiences of receiving/providing cancer care and support during cancer treatment in a rural setting. Iterative thematic analysis was undertaken, with transcripts coded using NVivo software.
resultsParticipants identified travel to larger regional centers and/or metropolitan areas and related arrangements as primary challenges to accessing diagnostic tests, surgeries, some treatments, and follow-up tests. Financial stress, and a lack of knowledge regarding available support services and mechanisms, was also a key issue for most patients and caregivers. Differences in availability of specific testing equipment, such as PET-CT, further complicated patients' and caregivers' experience of seeking diagnosis and management of cancer. While all interview cohorts identified positive rapport between clinicians and patients as a key characteristic of their experience of cancer management in rural and regional areas, difficulty in retaining clinical staff and related staffing levels at some health services were understood to negatively impact patients' and caregivers' experiences.
conclusionOverall, the study highlights the effects of geographical, social, and informational isolation on patients' and caregivers' experience of cancer diagnosis and management, and suggests several implications for further research and practice improvement.
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