title: Experiences of cancer patients in Poland throughout diagnosis and treatment.
abstract: Previous studies have failed to explain why the mortality rate of cancer patients is higher in Poland than other countries in the European Union. We aimed to evaluate the health care system in Poland during the diagnosis and treatment of cancer. In this multicentre study, 125 cancer patients treated at 15 centres across Poland participated in focus group interviews in 2014. We identified and assessed crucial elements that affect a patients' experience from the early onset of symptoms, through to diagnosis and treatment. We found that the majority of patients were dissatisfied with the length of time taken to diagnose cancer. Throughout diagnosis, treatment and follow-up, patients reported a lack of communication from health care professionals. While dealings with oncologists and medical staff were viewed favourably, patients felt the cancer centres were not well organised. Patients recommended that having one doctor in charge of an individual's treatment and follow-up would improve patient care and well-being. A late cancer diagnosis may be contributing to the high mortality rate observed in Poland. In the future, new policies should be developed to reduce the time to cancer diagnosis, increase communication with health care professionals and improve the organisation of cancer care for patients.
authors.affiliation: Centre for Cancer Prevention and Epidemiology, Poznań, Poland.
authors.forename: D
authors.initials: D
authors.lastname: Godlewski
authors.affiliation: Centre for Cancer Prevention and Epidemiology, Poznań, Poland.
authors.forename: M
authors.initials: M
authors.lastname: Adamczak
authors.affiliation: Centre for Cancer Prevention and Epidemiology, Poznań, Poland.
authors.forename: P
authors.initials: P
authors.lastname: Wojtyś
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002173:Cancer Care Facilities / Q000458:organization & administration*; D003142:Communication; D057210:Delayed Diagnosis; D005260:Female; D017144:Focus Groups; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011044:Poland; D036301:Qualitative Research; D013997:Time Factors
keywords: cancer; communication; information; patient satisfaction; quality of life