Patients' views of routine hospital, follow-up: A qualitative study of women with breast cancer in remission

Author(s): Ziebland, S., Grunfeld, E., Hall, A.

Journal/Book: Psycho Oncol. 1998; 7: Baffins Lane, Chichester, W Sussex PO19 1UD, England. John Wiley & Sons Ltd. 436-439.

Abstract: Objective: To investigate the experience of specialist hospital follow-up among 109 women with breast cancer in remission. Methods: Qualitative interviews explored views of follow-up at an outpatient clinic. Results: Continuity of care and an unrushed consultation were considered to be both desirable and efficient. There were concerns that discontinuity led to a lack of personal and case familiarity and communication difficulties. Access to cancer expertise, the availability of diagnostic tests and specialist facilities were valued features of hospital follow-up, and further analysis indicated that this was particularly important in the early stages of follow-up. Discussion: A preference for continuity of care may suggest that GP follow-up would be preferred, but access to specialist services is valued and may be of particular importance during the early stages of follow-up. The diversity of patients' needs during follow-up must be recognised when formulating policy.

Note: Article Ziebland S, Univ Oxford, Inst Hlth Sci, Dept Primary Hlth Care, ICRF Gen Practice Res Grp, Oxford OX3 7LF, ENGLAND

Keyword(s): RANDOMIZED TRIAL; PRIMARY-CARE

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