Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana
Autor: | Sandra A. Hewlett, Hannah Ayettey, Lily Wu, Ama de-Graft Aikins, Olutobi Adekunle Sanuade, Gbenga Ogedegbe, Titilola S. Akingbola, Florence Dedey |
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Rok vydání: | 2018 |
Předmět: |
050103 clinical psychology
medicine.medical_specialty Psychological intervention 050109 social psychology Economic shortage Breast Neoplasms Ghana Teaching hospital Breast cancer Surveys and Questionnaires Medicine Humans 0501 psychology and cognitive sciences Hospitals Teaching Applied Psychology business.industry 05 social sciences Fear medicine.disease Focus group Family medicine Female Thematic analysis business Psychosocial Healthcare system |
Zdroj: | Journal of health psychology. 26(3) |
ISSN: | 1461-7277 |
Popis: | Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (e.g. misinterpretation of symptoms, fear), (2) healthcare provider (e.g. negative attitudes) and (3) health systems (e.g. shortage of medicines). Addressing treatment delays will require multilevel interventions, including culturally congruent education, psychosocial counselling/support and strengthening health systems. |
Databáze: | OpenAIRE |
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