Patient satisfaction with two different models of cancer genetic services in south-east Scotland

S. Holloway, M. Porteous, R. Cetnarskyj, E. Anderson, R. Rush, A. Fry, D. Gorman, M. Steel, H. Campbell (Lead / Corresponding author)

Research output: Contribution to journalArticle

33 Citations (Scopus)
96 Downloads (Pure)

Abstract

There is a need to integrate primary- and secondary-care cancer genetic services, but the most appropriate model of service delivery remains unclear. This study reports patients' expectations of breast cancer genetic services and a comparison of their satisfaction with two service models. In the first model, risk assessment was carried out using mailed family history data. Women estimated as being at high/moderate risk were offered an appointment at the familial breast cancer clinic, and those at low risk were sent a letter of reassurance. In the second model, all women were seen by a genetic nurse specialist, who assessed risk, referred high/moderate-risk women to the above clinic and discharged those at low risk. Over 60% of all women in the study regarded access to breast screening by mammogram and regular check-ups as very important. This underlines the demand for a multidisciplinary service providing both clinical genetic and surgical services. Satisfaction was high with both models of service, although significantly lower among women not at increased cancer risk and thus not offered a clinical check-up and mammography. Increased cancer worry was associated with a greater expressed need for information and for reassurance through follow-up clinical checks and mammography. Better targeting of counselling to the expressed concerns and needs of these women is required to improve the service offered. GPs and patients expressed no clear preference for any specific service location or staffing configuration. The novel community service was less expensive in terms of both staff and patient costs. The potential to decrease health staff/patient contact time and to employ nurse practitioners with both clinical genetic and oncology training should be explored further. The rapidly rising demand for these services suggests that the evaluation of further new models needs to continue to be given priority to guide the development of cancer genetic services.

Original languageEnglish
Pages (from-to)582-589
Number of pages8
JournalBritish Journal of Cancer
Volume90
Issue number3
Early online date3 Feb 2004
DOIs
Publication statusPublished - 9 Feb 2004

Keywords

  • Breast cancer
  • Cost
  • Expectations
  • Genetic counselling
  • Satisfaction

Fingerprint Dive into the research topics of 'Patient satisfaction with two different models of cancer genetic services in south-east Scotland'. Together they form a unique fingerprint.

  • Cite this

    Holloway, S., Porteous, M., Cetnarskyj, R., Anderson, E., Rush, R., Fry, A., Gorman, D., Steel, M., & Campbell, H. (2004). Patient satisfaction with two different models of cancer genetic services in south-east Scotland. British Journal of Cancer, 90(3), 582-589. https://doi.org/10.1038/sj.bjc.6601562