Service user experiences of information delivery after a diagnosis of cancer: a qualitative study.
OBJECTIVE
This paper presents findings from a qualitative study investigating service users' experiences of a patient information pathway after a diagnosis of cancer.


METHODS
Patients (27) and relatives (20) were recruited from two identified Cancer Network sites representing a pathway that had been information mapped (Lung) and one which had not (Head and Neck). Respondents participated in up to three qualitative interviews in the year after diagnosis.


RESULTS
The need for information in response to serious health problems has become widely accepted. Providing cancer patients and their carers with high-quality information throughout their care pathway is a policy priority. However, the study findings contribute to a growing body of evidence that far from embracing the active role of "expert patient", many patients continue to prefer verbal to written information, to trust in health professionals as their primary and preferred source of information, and to be quite cautious and selective about what they want to know about their illness.


CONCLUSIONS
Good information is regarded as a prerequisite for informed decision making and a primary means of coping with the stress of illness. However, patient attitudes to information are complex and encompass resistance, ambivalence and indifference, active engagement and interest. The study findings reinforce the need for health professionals to develop competence as skilled communicators, and for efficient local systems of information transfer between service agencies and health professionals as prerequisites for delivery of the timely, tailored and personalized information which patients require.
Pollock
Kristian
K
School of Nursing, University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2HA, UK. kristian.pollock@nottingham.ac.uk
Cox
Karen
K
Howard
Penny
P
Wilson
Eleanor
E
Moghaddam
Nima
N
D022126:Access to Information; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003657:Decision Making; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008137:Longitudinal Studies; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D010865:Pilot Projects; D011379:Prognosis; D036301:Qualitative Research; D014342:Truth Disclosure; D055815:Young Adult