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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.

Original publication

DOI

10.1002/(SICI)1099-1611(1998090)7:5<436::AID-PON319>3.0.CO;2-C

Type

Journal article

Journal

Psychooncology

Publication Date

09/1998

Volume

7

Pages

436 - 439

Keywords

Adult, Breast Neoplasms, Continuity of Patient Care, Female, Health Policy, Health Services Accessibility, Humans, Medicine, Patient Satisfaction, Physician-Patient Relations, Referral and Consultation, Specialization