title: Patient scenario identifies gaps in breast cancer services in a rural region.
abstract: Studies have demonstrated that community-based cancer coalitions can effectively address cancer disparities in rural areas. Scenario plots have been used to assess community needs in health care and public health. The social and medical context of a woman with undetected breast cancer was developed as a patient scenario implemented at a rural cancer coalition meeting to rapidly identify gaps in services. Transportation, fragmentation of cancer care, access to insurance coverage, patient navigation, and survivorship services were identified as gaps in ensuring patient compliance across the continuum of breast cancer care throughout the region. Results will be used to shape coalition priorities.
authors.affiliation: Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. leac@ecu.edu
authors.forename: C Suzanne
authors.initials: CS
authors.lastname: Lea
authors.forename: Carol
authors.initials: C
authors.lastname: Rose
authors.forename: Carrie L
authors.initials: CL
authors.lastname: May
authors.forename: Nancy
authors.initials: N
authors.lastname: Winterbauer
authors.forename: Emily
authors.initials: E
authors.lastname: Miller
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Fitzgerald
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis / Q000628:therapy*; D055088:Early Detection of Cancer; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D020380:Needs Assessment; D009657:North Carolina; D019035:Rural Health Services; D014186:Transportation