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Gynecological cancer survivors and community support services: referral, awareness, utilization and satisfaction

Identifieur interne : 005D10 ( Main/Exploration ); précédent : 005D09; suivant : 005D11

Gynecological cancer survivors and community support services: referral, awareness, utilization and satisfaction

Auteurs : Vanessa L. Beesley [Australie] ; Monika Janda [Australie] ; Elizabeth G. Eakin [Australie] ; Josephine F. Auster [Australie] ; Suzanne K. Chambers [Australie] ; Joanne F. Aitken [Australie] ; Jeff Dunn [Australie] ; Diana Battistutta [Australie]

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RBID : ISTEX:0C760AA2A88D1AD286CCEFAFC29748F438A0F49F

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English descriptors

Abstract

Objectives: To quantify gynecological cancer survivors' referral to, awareness of, utilization of and satisfaction with community support services, as well as the factors associated with service use. Methods: In 2004, 802 gynecological cancer survivors, 3 months–5 years post‐diagnosis, completed a postal questionnaire (56% response rate). Descriptive statistics summarized outcome prevalences. Logistic regression models identified correlates of service utilization. Results: Substantial proportions of women were aware of the main cancer support organization, Cancer Council Queensland (72%), and of information booklets (74%), helplines (66%), support groups (56%) and internet information (50%). Less than half were aware of other services. The most commonly used resources and services were information booklets (37%), the internet (23%), and helplines (20%). More broadly, 43% utilized information/internet support, 30% utilized psychosocial services and 27% utilized functional/practical services. Approximately one‐fifth (19%) used more than one support types. Having a health‐care provider referral, being diagnosed with lymphedema or living in northern Queensland were associated with higher odds of service use in all three of the support types. While most (86%) of those referred used a service, only a few women received referrals. Among users, satisfaction with services was high. Conclusions: While gynecological cancer survivors accessed a variety of support, there is a need to ensure women are aware of services. Given the low prevalence of referrals and that referral was a key influence on service use, clinician education may be necessary to improve service referral. Organizations should also consider strategies to keep services high on clinicians' radars. Copyright © 2009 John Wiley & Sons, Ltd

Url:
DOI: 10.1002/pon.1528


Affiliations:


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<term>Referral and Consultation (utilization)</term>
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<term>Survivors (psychology)</term>
<term>Utilization Review (statistics & numerical data)</term>
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<term>Bilan opérationnel ()</term>
<term>Comportement du consommateur</term>
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<term>Enquêtes de santé</term>
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<term>Humains</term>
<term>Jeune adulte</term>
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<term>Services communautaires en santé mentale (utilisation)</term>
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<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Survivants (psychologie)</term>
<term>Tumeurs de l'appareil génital féminin ()</term>
<term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term>
<term>Tumeurs de l'appareil génital féminin (psychologie)</term>
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<term>Tumeurs de l'appareil génital féminin</term>
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<term>Genital Neoplasms, Female</term>
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<term>Survivants</term>
<term>Tumeurs de l'appareil génital féminin</term>
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<term>Orientation vers un spécialiste</term>
<term>Services communautaires en santé mentale</term>
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<term>Referral and Consultation</term>
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<term>Aged</term>
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<term>Combined Modality Therapy</term>
<term>Consumer Behavior</term>
<term>Cross-Sectional Studies</term>
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<div type="abstract" xml:lang="en">Objectives: To quantify gynecological cancer survivors' referral to, awareness of, utilization of and satisfaction with community support services, as well as the factors associated with service use. Methods: In 2004, 802 gynecological cancer survivors, 3 months–5 years post‐diagnosis, completed a postal questionnaire (56% response rate). Descriptive statistics summarized outcome prevalences. Logistic regression models identified correlates of service utilization. Results: Substantial proportions of women were aware of the main cancer support organization, Cancer Council Queensland (72%), and of information booklets (74%), helplines (66%), support groups (56%) and internet information (50%). Less than half were aware of other services. The most commonly used resources and services were information booklets (37%), the internet (23%), and helplines (20%). More broadly, 43% utilized information/internet support, 30% utilized psychosocial services and 27% utilized functional/practical services. Approximately one‐fifth (19%) used more than one support types. Having a health‐care provider referral, being diagnosed with lymphedema or living in northern Queensland were associated with higher odds of service use in all three of the support types. While most (86%) of those referred used a service, only a few women received referrals. Among users, satisfaction with services was high. Conclusions: While gynecological cancer survivors accessed a variety of support, there is a need to ensure women are aware of services. Given the low prevalence of referrals and that referral was a key influence on service use, clinician education may be necessary to improve service referral. Organizations should also consider strategies to keep services high on clinicians' radars. Copyright © 2009 John Wiley & Sons, Ltd</div>
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