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Title: The health status and utilisation of health services by cancer survivors with late effects
Author: Treanor , Charlene Jennifer
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2013
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The number of cancer survivors is increasing. Knowledge gaps exist regarding the health of survivors and their use of services, particularly survivors with long-term effects of the disease and treatment, including late effects. This PhD study comprised (i) a systematic review of health service utilisation by cancer survivors; (ii) a population-based comparative survey of the health status and service utilisation of cancer survivors and a matched General Practice population; (iii) an overview of reviews of late effects; (iv) a comparative analysis of cancer survivors with self-reported late effects and survivors without late effects in terms of their health status and services utilisation patterns and; (v) a qualitative study of the narrative of cancer survivors with late • effects. The health service utilisation review identified that increasing age was associated with less care and increased hospitalisations. Improved care receipt was dependent on type and frequency of physician contact which facilitated health service use. Survivors were generally higher service users and received more care than the general population- this finding concurs with results of the survey. Survivors also had significantly poorer health than the general population. The presence of co-morbidities was associated with less service receipt, though the survey found that survivors with late effects were high users of care and experienced poorer health than their counterparts without late effects. There was general I SUMMARY 2 - PAGE 3 - agreement that physical late effects tend to emerge some time post-treatment, but there was -- less agreement regarding the onset of psychological late effects. Late effects impacted on many aspects of survivors' lives and were managed in many ways. The main emergent themes from the qualitative analysis were: sense-making, social comparisons and psychology of the individual. Care recommendations and implementation of preventive care plans would facilitate receipt of appropriate care and improve health for survivors including those with late effects.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available