Cancer patients' concerns regarding access to cancer care: Perceived impact of waiting times along the diagnosis and treatment journey

European Journal of Cancer Care

Volumn 21, Issue 3, 2012, Pages 321-329

  Paul, C ^a   Carey, M ^a   Anderson, A ^a   Mackenzie, L ^a   Sanson Fisher, R ^a   Courtney, R ^a   Clinton Mcharg, T ^a  

^a UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

Cancer patients; Diagnosis; Health services accessibility; Psychosocial aspects; Treatment; Vulnerable populations

Indexed keywords

ADULT; AGED; ARTICLE; AUSTRALIA; CLINICAL TRIAL; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE SURVEY; HOSPITAL ADMISSION; HUMAN; MALE; MIDDLE AGED; MULTICENTER STUDY; NEOPLASM; PATIENT SATISFACTION; PSYCHOLOGICAL ASPECT; RADIOTHERAPY; STANDARD; STATISTICAL MODEL; TIME;

ADULT; AGED; AGED, 80 AND OVER; AUSTRALIA; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; NEOPLASMS; PATIENT SATISFACTION; RADIOTHERAPY; TIME FACTORS; WAITING LISTS; YOUNG ADULT;

EID: 84859742808     PISSN: 09615423     EISSN: 13652354     Source Type: Journal    
DOI: 10.1111/j.1365-2354.2011.01311.x     Document Type: Article

References (60)

1. Absolom, K., Greenfield, D., Ross, R., Horne, B., Davies, H., Glaser, A., Simpson, A., Waite, H. & Eiser, C. (2006) Predictors of clinic satisfaction among adult survivors of childhood cancer. European Journal of Cancer 42, 1421-1427.
2. Aday L.A. & Andersen R. (1974) A framework for the study of access to medical care. Health Services Research 9, 208-220.
3. Agency for Healthcare Research and Quality (2009) National Healthcare Quality Report. AHRQ, Rockville, MD, USA.
4. Andersen R.M. (1995) Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behaviour 36, 1-10.
5. Andersen R.M. (2008) National health surveys and the behavioral model of health services use. Medical Care 46, 647-653.
6. Australian Bureau of Statistics (2006) Information Paper: An Introduction to Socio-Economic Indexes for Areas (SEIFA). Available at:
7. Australian Institute of Health and Welfare (2010) Australian Hospital Statistics 2008-09. AIHW, Canberra, Australia.
8. Back A., Arnold R.M., Baile W.F., Tulsky J.A. & Fryer-Edwards K. (2005) Approaching difficult communication tasks in oncology. CA: A Cancer Journal for Clinicians 55, 164-177.
9. Bilimoria K., Ko C.Y., Tomlinson J.S., Stewart A.K., Talamonti M.S., Hynes D., Winchester D.P. & Bentrem D.J. (2011) Wait times for cancer surgery in the United States: trends and predictors of delays. Annals of Surgery 253, 779-785.
10. Campbell N.C., Ritchie L.D., Cassidy J. & Little J. (1999) Systematic review of cancer treatment programmes in remote and rural areas. British Journal of Cancer 80, 1275-1280.
11. Cancer Care Ontario (2008) Ontario Cancer Plan 2008-2011. Cancer Care Ontario, Toronto, ON, Canada. Available at:
12. Cancer Institute New South Wales (2009) NSW Cancer Patient Satisfaction Survey 2008. Cancer Institute NSW, Sydney, NSW, Australia.
13. Clark J. & Talcott J.A. (2006) Confidence and uncertainty long after initial treatment for early prostate cancer: survivors' views of cancer control and the treatment decisions they made. Journal of Clinical Oncology 24, 4457-4463.
14. Coates A.S. (1999) Breast cancer: delays, dilemmas, and delusions. The Lancet 353, 1112-1113.
15. Department of Health (2000) The NHS Cancer Plan: A Plan for Investment, A Plan for Reform. Department of Health, London, UK.
16. Drageset S., Lindstrøm T.C. & Underlid K. (2010) Coping with breast cancer: between diagnosis and surgery. Journal of Advanced Nursing 66, 149-158.
17. Drury V.B. & Inma C. (2010) Exploring patient experiences of cancer services in regional Australia. Cancer Nursing 33, E25-E31.
18. Ellis P.M. & Tattersall M.H. (1999) How should doctors communicate the diagnosis of cancer to patients? Annals of Medicine 31, 336-341.
19. Evans J., Ziebland S. & Mcpherson A. (2007) Minimizing delays in ovarian cancer diagnosis: an expansion of Andersen's model of 'total patient delay'. Family Practice 24, 48-55.
20. Fahmy N.M., Mahmud S. & Aprikian A.G. (2006) Delay in the surgical treatment of bladder cancer and survival: systematic review of the literature. European Urology 50, 1176-1182.
21. Fitch M.I., Gray R.E., Mcgowan T., Brunskill I., Steggles S., Sellick S., Bezjak A. & Mcleese D. (2003) Travelling for radiation cancer treatment: patient perspectives. Psycho-Oncology 12, 664-674.
22. Gesell S.B. & Gregory N. (2004) Identifying priority actions for improving patient satisfaction with outpatient cancer care. Journal of Nursing Care Quality 19, 226-233.
23. Gorey K., Luginaah I., Holowaty E., Fung K. & Hamm C. (2009) Wait times for surgical and adjuvant radiation treatment of breast cancer in Canada and the United States: greater socioeconomic inequity in America. Clinical and Investigative Medicine 32, E239-E249.
24. Gotay C., Holup J.L. & Pagano I. (2002) Ethnic differences in quality of life among early breast and prostate cancer survivors. Psycho-Oncology 11, 103-113.
25. Groff S.L., Carlson L.E., Tsang K. & Potter B.J. (2008) Cancer patients' satisfaction with care in traditional and innovative ambulatory oncology clinics. Journal of Nursing Care Quality 23, 251-257.
26. Health Canada (2004) A 10-year plan to strengthen health care. [News Release]. Available at:
27. Hoffman C. & Paradise J. (2008) Health insurance and access to health care in the United States. Annals of the New York Academy of Sciences 1136, 149-160.
28. Institute of Medicine (2001) Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press, Washington, DC, USA.
29. Institute of Medicine (2011) Patient-centred Cancer Treatment & Planning: Improving Quality of Oncology Care: Workshop Summary. National Cancer Policy Forum, Board on Health Care Services, Washington, DC, USA.
30. Jones A.P., Haynes R., Sauerzapf V., Crawford S.M., Zhao H. & Forman D. (2008) Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer. European Journal of Cancer 44, 992-999.
31. Jones R., Rubin G. & Hungin P. (2001) Is the two week rule for cancer referrals working? British Medical Journal 322, 1555-1556.
32. Keller M., Sommerfeldt S., Fischer C., Knight L., Riesbeck M., LoWe B., Herfarth C. & Lehnert T. (2004) Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach. Annals of Oncology 15, 1243-1249.
33. Linacare S. (2007) Australian Social Trends 2007: low income low wealth households. cat. no. 4102.0. Australian Bureau of Statistics: Canberra.
34. Lloyd-Williams M. (2001) Screening for depression in palliative care patients: a review. European Journal of Cancer Care 10, 31-35.
35. Love A., Kissane D.W., Bloch S. & Clarke D.M. (2002) Diagnostic efficiency of the Hospital Anxiety and Depression Scale in women with early stage breast cancer. Australian and New Zealand Journal of Psychiatry 36, 246-250.
36. Manpower and Standards of Care in Radiation Oncology Committee (2000) Definition of RT Waiting. Canadian Association of Radiation Oncologists (CARO). Available at:
37. Mohammed N., Kestin L.L., Grills I.S., Battu M., Fitch D.L., Wong C.Y.O., Margolis J.H., Chmielewski G.W. & Welsh R.J. (2011) Rapid disease progression with delay in treatment of non-small-cell lung cancer. International Journal of Radiation Oncology Biology Physics 79, 466-472.
38. Moorey S., Greer S., Watson M., Gorman C., Rowden L., Tunmore R., Robertson B. & Bliss J. (1991) The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. The British Journal of Psychiatry 158, 255-259.
39. National Health Service (2011) Guide to waiting times. Available at:
40. New South Wales Department of Health (2011) Monthly Hospital Performance Reports. NSW Health, Sydney, NSW, Australia.
41. New South Wales Health (2003) A Clinical Service Framework for Optimising Cancer Care in NSW. NSW Department of Health, North Sydney, NSW, Australia.
42. Olesen F., Hansen R.P. & Vedsted P. (2009) Delay in diagnosis: the experience in Denmark. British Journal of Cancer 101 (Suppl. 2), S5-S8.
43. Onega T., Duell E.J., Shi X., Wang D., Demidenko E. & Goodman D. (2008) Geographic access to cancer care in the U.S. Cancer 112, 909-918.
44. Organisation for Economic Development and Co-operation (2009) Health Care Quality Indicators data: cancer care. Available at:
45. Poole K. (1997) The emergence of the 'waiting game': a critical examination of the psychosocial issues in diagnosing breast cancer. Journal of Advanced Nursing 25, 273-281.
46. Richards M.A., Westcombe A.M., Love S.B., Littlejohns P. & Ramirez A.J. (1999) Influence of delay on survival in patients with breast cancer: a systematic view. Lancet 353, 1119-1126.
47. Salomaa E.R., Sallinen S., Hiekkanen H. & Liippo K. (2005) Delays in the diagnosis and treatment of lung cancer. Chest 128, 2282-2288.
48. Sanmartin C., Berthelot J.-M. & Mcintosh C.N. (2007) Determinants of unacceptable waiting times for specialized services in Canada. Health Policy 2, E140-E154.
49. Sanson-Fisher R., Carey M. & Paul C.L. (2009) Measuring the unmet needs of those with cancer: a critical overview. Cancer Forum 33, 200-203.
50. Shi L. & Stevens G.D. (2005) Disparities in access to care and satisfaction among U.S. children: the roles of race/ethnicity and poverty status. Public Health Report 120, 431-441.
51. Sowden A., Aletras V., Place M., Rice N., Eastwood A., Grilli R., Ferguson B., Posnett J. & Sheldon T. (1997) Volume of clinical activity in hospitals and healthcare outcomes, costs, and patient access. Quality in Health Care 6, 109-114.
52. Taylor R., Mamoon H.A., Morrell S. & Wain G.V. (2001) Cervical screening by socio-economic status in Australia. Australian and New Zealand Journal of Public Health 25, 256-260.
53. Teppo H. & Alho O.P. (2009) Comorbidity and diagnostic delay in cancer of the larynx, tongue and pharynx. Oral Oncology 45, 692-695.
54. The Royal College of Physicians & The Royal College of Radiologists (1993) Reducing delays in cancer treatment: some targets. The Royal College of Physicians on behalf of the Joint Council for Clinical Oncology, London, UK.
55. Thomas B., Groff S., Tsang K. & Carlson L.E. (2009) Patient ethnicity: a key predictor of cancer care satisfaction. Ethnicity and Health 14, 351-358.
56. Trewin D. (2006) Australian Social Trends 2006. Australian Bureau of Statistics, Canberra, Australia.
57. Van Doorslaer E., Masseria C., Koolman X. & For the OECD Health Equity Research Group (2006) Inequalities in access to medical care by income in developed countries. Canadian Medical Association Journal 174, 177-183.
58. Walker J., Postma K., McHugh G.S., Rush R., Coyle B., Strong V. & Sharpe M. (2007) Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patients. Journal of Psychosomatic Research 63, 83-91.
59. World Health Organisation (2009) Fact Sheet No.297: Cancer. Available at:
60. Zigmond A. & Snaith R.P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandanavica 67, 361-370.