title: Gynaecologic cancer patients' needs and experiences of supportive health services in New Zealand.
abstract: OBJECTIVE
  Psychosocial care across the cancer continuum is a core component of quality gynaecologic cancer services. The purpose of this qualitative study was to identify needs for supportive care in a sample of New Zealand women and to understand to what extent they feel their needs are being met by health services.
  
  
  METHODS
  Purposive sampling was used to recruit women (n=28) diagnosed with a gynaecologic cancer. Unstructured interviews were conducted and a thematic analysis was performed.
  
  
  RESULTS
  Interviews revealed a range of shared and unique needs and support experiences. Three themes emerged reflecting participants' sense of control, need for validation of the cancer experience and organisation of their care. Findings suggest issues of continuity and coordination of care result in unmet support needs across the continuum of care, but primarily after treatment finishes.
  
  
  CONCLUSIONS
  While broadly consistent with previous results, findings highlight the need for a patient-focused, comprehensive, integrated approach to supportive cancer care encompassing diagnosis, treatment and long-term recovery.
authors.affiliation: Department of Health Systems, School of Population Health, University of Auckland, Auckland 1142, New Zealand. l.walton@auckland.ac.nz
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Walton
authors.forename: Jeanne
authors.initials: J
authors.lastname: Reeve
authors.forename: Paul M
authors.initials: PM
authors.lastname: Brown
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Farquhar
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005833:Genital Neoplasms, Female / Q000453:epidemiology*; D006296:Health Services / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D009520:New Zealand / Q000453:epidemiology; D011584:Psychology; D012944:Social Support; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data*