On the road and away from home: a systematic review of the travel experiences of cancer patients and their families

被引:18
|
作者
Vindrola-Padros, Cecilia [1 ]
Brage, Eugenia [2 ]
Chambers, Pinkie [3 ,4 ]
机构
[1] Univ Coll London UCL, Dept Appl Hlth Res, 1-19 Torrington Pl, London WC1E 7HB, England
[2] Univ Buenos Aires, CONICET, Inst Ciencias Antropol, Secc Antropol Social,Fac Filosofia & Letras, Puan 480, RA-1420 Buenos Aires, DF, Argentina
[3] Univ Coll London Hosp NHS Fdn Trust, Canc Div, 250 EustonRd, London NW1 2BU, England
[4] UCL Sch Pharm, Res Dept Practice & Policy, 29-39 Brunswick Sq, London WC1N 1AX, England
关键词
Cancer; Travel; Transport; Experience of care; Systematic review; MIXED METHODS; CARE; TRANSPORT; SERVICES; QUALITY; BURDEN; NEEDS;
D O I
10.1007/s00520-018-4266-2
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Traveling for cancer care is difficult as patients might be suffering from the side effects of treatment, need to cover additional costs, and face disruption of daily life. The aim of this review was to synthesize the evidence on travel needs and experiences during cancer treatment from the point of view of patients and their families. This is a systematic review of the literature. The PRISMA statement was used to guide the reporting of the methods and findings. We searched for peer-reviewed articles in MEDLINE, CINAHL PLUS, and Web of Science and selected articles based on the following criteria: focused on patients and their families; presented findings from empirical studies; and examined travel and transport experiences for cancer screening, treatment, and related care. The MMAT was used to assess the quality of the studies. A total of 16 articles were included in the review. Most of the studies used a qualitative design, were carried out in high-income countries and were conducted more than 10 years ago. Several problems were reported regarding travel and relocation: social and physical demands of transport, travel, and relocation; life disruption and loss of daily routines; financial impact; and anxieties and support needs when returning home. Patients and carers consistently reported lack of support when traveling, relocating, and returning home. Future research needs to explore patient experiences under current treatment protocols and healthcare delivery models, in a wider range of geographical contexts, and different stages of the patient pathway.
引用
收藏
页码:2973 / 2982
页数:10
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