Views of psycho-oncologists, physicians, and nurses on cancer care—A qualitative study
Open accessAbstract
BACKGROUND: As worldwide cancer prevalence continues to increase, the challenges facing cancer care are also increasing. Various topics related to deficiencies in cancer care have been discussed repeatedly in the literature. The most frequently stated topics are the unmet psychosocial support needs of cancer patients, difficulties in multidisciplinary teamwork, difficulties in communication between physicians and patients, and issues in palliative care settings. However, there is little research regarding the views of health care providers on these topics. With the aim of gaining abundant information regarding the care of German cancer patients, this study explores the stances of psycho-oncologists, physicians, and nurses regarding the quality of cancer care. MATERIALS AND METHODS: Semi-structured interviews were conducted at the University Medical Center Hamburg-Eppendorf (UKE) and in different oncological outpatient offices in Hamburg; twenty-five interviews in total were conducted with health care providers. Interviews were semi-structured to gain a broad range of information on cancer care. The data were analyzed using thematic analysis by Braun and Clarke with an inductive, constant comparison approach to identify themes and categorized codes. RESULTS: The following five principle themes were identified in the interviews: "psycho-oncological care", "cooperation of health care providers", "palliative care", "health care provider-patient contact", and "coordination and organization of care". Participants seemed satisfied with the overall quality of cancer care in Germany. Nevertheless, the results showed deficiencies regarding communication among different health care providers and between health care providers and patients. Important findings in conjunction with these communication problems were a lack of psycho-oncological support, shortages in the oncology work force, language and cultural barriers, and deficient education in the communication of providers. CONCLUSIONS: The statements of psycho-oncologists, physicians, and nurses on cancer care provide a suitable basis to conduct further focused research on the studied deficiencies in cancer care. In particular, communication in psycho-oncological care, communication within multidisciplinary teams, and health care provider-patient communication should be further explored with the aim of developing new ideas for improvements and thereby enhancing the quality of cancer care.
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Breast cancer survivors in this study recognized the current limitations of in-person psychosocial support, particularly a shortage of mental health clinicians trained to meet the unique needs of cancer survivors.
“Breast cancer survivors in this study recognized the current limitations of in-person psychosocial support [9,71], particularly a shortage of mental health clinicians trained to meet the unique needs of cancer survivors [11,72,73].”
From Co-Designing the MOSAIC mHealth App With Breast Cancer Survivors: User-Centered Design Approach (2024) · cites this paper as [72]
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MELANOMA SERGANČIŲ PACIENTŲ LIGOS IR GYVENSENOS KONTROLĖ
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RetractedBernier, P., Desjardins, L., Charette, M.-C., Latour, M.-P., & Bastien, M.-P. (2024) · Canadian Oncology Nursing Journal · doi:10.5737/23688076343267
Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634696
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Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634714
Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634705
Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634717
Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634708
Salm, S., Cecon, N., Jenniches, I., Pfaff, H., Scholten, N., Dresen, A., & Krieger, T. (2022) · Figshare · doi:10.6084/m9.figshare.19634711
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- Authors
- Steven, B., Lange, L., Schulz, H., & Bleich, C.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Lange, Lukas
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2019-01-16
- Volume
- 14
- Issue
- 1
- Pages
- e0210325
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC6334960
- OpenAlex
- W2910129827
- Cited by
- 45
- References
- 78
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 12 · 2023: 6 · 2022: 11 · 2021: 6 · 2020: 4
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- quality of cancer care, psycho-oncology, healthcare provider perspectives, physician-patient communication, multidisciplinary teamwork, palliative care, psychosocial support, care coordination, oncology workforce shortage, language and cultural barriers
- MeSH terms
- Oncologists, Psychosocial Support Systems, Attitude of Health Personnel, Communication, Female, Germany, Humans, Interviews as Topic, Male, Neoplasms, Nurses, Palliative Care, Physicians, Professional-Patient Relations, Psychology, Qualitative Research
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