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dc.contributor.authorThompson, Sandra C
dc.contributor.authorCheetham, Shelley
dc.contributor.authorBaxi, Siddhartha
dc.date.accessioned2020-01-06T04:37:13Z
dc.date.available2020-01-06T04:37:13Z
dc.date.issued2017
dc.identifier.issn1471-2407
dc.identifier.doi10.1186/s12885-017-3790-7
dc.identifier.urihttp://hdl.handle.net/10072/390055
dc.description.abstractBACKGROUND: Utilisation of radiation therapy for regional Australia and around the world has been the focus of much health policy the last decade. Radiation therapy centres have been built in Australian regional and rural areas to improve access to radiation therapy and reduce the tyranny of distance as a barrier to access. After this the enablers, barriers and perceptions of patients has been evaluated to determine utilisation once centres have been built. Thisreview looks the impact of rural radiation services in the developed world, barriers and enablers of establishing a rural radiation centre, and patients' and service providers' perspectives and preferences around the uptake of rural radiation therapy. METHODS: Online search of peer reviewed literature was undertaken using MeSH terms relating to the topic. Inclusion criteria were regional radiation therapy centres in developing countries, any year of publication, in English, and qualitative or quantitative methodologies. Articles were reviewed by two authors with conflicts discussed with a third. RESULTS: Twenty three studies addressed the theme directly. Distance barriers have been overcome by building regional centres and health economic burden was lower for government service providers with this strategy. However distance still plays an important role in influencing uptake of radiation therapy. Cultural expectations, influence of the family doctor and perception of care was influential. Carer support, duration of displacement from home, financial impact of the required care and seasonal weather were practical factors on a patient's decision. CONCLUSIONS: Regional radiation therapy centres have improved access to radiation therapy in developing countries. However the complex nuances between socio-economic, cultural and health system factors that influence regional patient's decision making bears further consideration, as distance is not the only issue.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.relation.ispartofpagefrom794:1
dc.relation.ispartofpageto794:8
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Cancer
dc.relation.ispartofvolume17
dc.subject.fieldofresearchOncology and Carcinogenesis
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1112
dc.subject.fieldofresearchcode1117
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsUtilisation
dc.subject.keywordsRadiation therapy
dc.titleThe enablers, barriers and preferences of accessing radiation therapy facilities in the rural developed world - a systematic review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationThompson, SC; Cheetham, S; Baxi, S, The enablers, barriers and preferences of accessing radiation therapy facilities in the rural developed world - a systematic review, BMC Cancer, 2017, 17 (1), pp. 794:1-794:8
dcterms.dateAccepted2017-11-15
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-06T04:33:53Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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gro.griffith.authorBaxi, Siddhartha


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