Older people beliefs about cancer care in Poland

Małgorzata Synowiec-Piłat,

Beata Zmyślona,

Anna Pałęga

Abstrakt

The occurrence and morbidity of cancer increase with age. The aim of the study was to ascertain the beliefs of older people about the access to and quality of cancer care in Poland and to determine the impact of gender, age, education and SES variables on their beliefs. In 2012, a sample of 910 adult residents of Wrocław was studied by means of an interview questionnaire and quota sampling was applied.  This paper presents only the data obtained from two of the six age categories researched (N = 329; specifically the age categories: “55–64 years” and “65 and over”. It was established that more than half of the respondents evaluated the treatment conditions in hospitals negatively; most being critical of the access to the medical services for oncology. The results show a divergence between the assessment of the medical personnel’s instrumental function and the care received. Although 75% of seniors positively assess the competence of oncologists, 45.29% evaluate their interpersonal skills negatively.It was found that criticism of oncological care increases with the age of the respondents and their lower financial state.

Słowa kluczowe: instytucje medyczne, onkologia, nowotwór, fatalizm nowotworowy, przekonania zdrowotne, socjologia medycyny, starzenie
References

1. Yancik R., Ries L.A., Cancer in older persons: an international issue in an aging world, “Seminars in Oncology” 2004; 31 (2): 128–136.

2. Jemal A., Siegel R., Ward E et al., Cancer statistics, “CA: Cancer Journal for Clinicians” 2009; 59 (4): 225–249.

3. Wild C.P., Stewart B.W. (eds.), World Cancer Report 2014, World Health Organization, Geneva 2014.

4. GUS, Prognoza ludności na lata 2008–2035, GUS, Warszawa 2009: 328.

5. European Commission EUROSTAT, 2009; http://epp.eurostat.ec.europa.eu/statistics (accessed: 29.10.2013).

6. Wojciechowska U., Didkowska J., Zachorowania zgony na nowotwory złośliwe Polsce. Krajowy Rejestr Nowotworów, Centrum Onkologii – Instytut im. Marii Skłodowskiej-Curie; http://onkologia.org.pl/raporty (accessed: 30.12.2014).

7. Shah R.R., Drug development and use in the elderly: Search for the right dose and dosing regimen, “British Journal of Clinical Pharmacology” 2004; 58 (5): 452–469.

8. Ostrowska A., Profilaktyka zdrowotna: interpretacje, definicje sytuacji, racjonalności (przypadek profilaktyki ginekologicznej kobiet), “Studia Socjologiczne” 2011; 3 (202): 73–94.

9. Januszek-Michalecka L., Nowak-Markwitz E., Banach P., Spaczynski M., Effectiveness of the National Population-Based Cervical Cancer Screening Programme in Poland – Outcomes, problems and possible solutions years after implementation, “Annals of Agricultural and Environmental Medicine” 2013; 20 (4): 859–864.

10.  Rak – priorytetem publicznym! – tego domagają się Polacy!; http://www.pkopo.pl/aktualnosci/2012/92 (accessed: 20.04.2014).

11. Synowiec-Piłat M., Promocja zdrowia profilaktyka onkologiczna działaniach organizacji pozarządowych, Wydawnictwo Adam Marszałek & Akademia Medyczna we Wrocławiu, Toruń 2009.

12. Balmer C., Griffiths F., Dunn J., qualitative systematic review exploring lay understanding of cancer by adults without cancer diagnosis, “Journal of Advanced Nursing” 2014; 70 (8): 1688–1701.

13. Freidson E., Client control and medical practice, “American Journal of Sociology”1960; 65 (4): 374–382.

14. Freidson E., Profession of Medicine: A Study of the Sociology of Applied Knowledge, University of Chicago Press, Chicago and London 1988.

15. Cornford C.S., Cornford H.M., ‘I’m only here because of my family.’ study of lay referral networks, “British Journal of General Practice” 1999; 49 (445): 617–620.

16. Sontag S., Illness as Metaphor and AIDS and its Metaphors, Macmillan, London 2001.

17. Leventhal H., Brissette I., Leventhal, E.A., The common-
-sense model of self-regulation of health and illness
, in: Cameron L.D., Leventhal H. (eds.), The Self-regulation of Health and Illness Behavior, Routledge, New York 2003: 42–65.

18. Hagger M.S., Orbell S., meta-analytic review of the common-sense model of illness representations, “Psychology and Health” 2003; 18 (2): 141–184.

19. Yeom H.E., Heidrich S.M., Relationships between three beliefs as barriers to symptom management and quality of life in older breast cancer survivors, “Oncology Nursing Forum” 2013; 40 (3), NIH Public Access.

20. Ruiter R.A., de Nooijer J., van Breukelen G., Ockhuysen-Vermey C.F., de Vries H., Intended coping responses to cancer symptoms in healthy adults: The roles of symptom knowledge, detection behavior, and perceived threat, “Cancer Epidemiology Biomarkers & Prevention” 2008; 17 (4): 818–826.

21. Reich M., Gaudron C., Penel N., When cancerophobia and denial lead to death, “Palliative and Supportive Care” 2009; 7 (2): 253–255.

22. Rabinowitz T., Peirson R., “Nothing is wrong, doctor”: Understanding and managing denial in patients with cancer, ”Cancer Investigation” 2006; 24 (1): 68–76.

23. Tobiasz-Adamczyk B., Szafraniec K., Bajka J., Zachowania chorobie: opis przebiegu choroby perspektywy pacjenta, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków 1999.

24. Beeken R.J., Simon A.E., von Wagner C., Whitaker K.L., Wardle J., Cancer fatalism: Deterring early presentation and increasing social inequalities?, “Cancer Epidemiology Biomarkers & Prevention” 2011; 20 (10): 2127–2131.

25. Mayo R.M., Ureda J.R., Parker V.G., Importance of fatalism in understanding mammography screening in rural elderly women, “Journal of Women & Aging” 2001; 13 (1): 57–72.

26. Powe B.D., Cancer fatalism among elderly African American women: Predictors of the intensity of the perceptions, “Journal of Psychosocial Oncology” 2001; 19 (3–4): 85–95.

27. Straughan P.T., Seow A., Fatalism reconceptualized: concept to predict health screening behawior, “Journal of Gender, Culture and Health” 1998; 3 (2): 85–100.

28. Lannin D.R., Mathews H.F., Mitchell J., Swanson M.S., Swanson F.H., Edwards M.S., Influence of socioeconomic and cultural factors on racial differences in late-stage presentation of breast cancer, “Journal of American Medical Association” 1998; 279 (22): 1801–1807.

29. Niederdeppe J., Levy A.G., Fatalistic beliefs about cancer prevention and three prevention behaviors, “Cancer Epidemiology Biomarkers & Prevention”2007; 16 (5): 998–1003.

30. von Wagner C., Macedo A., Campbell C., Simon A.E., Wardle J., Hammersley V., Waller J., Continuing cancer screening later in life: Attitudes and intentions among older adults in England, “Age and Ageing” 2013; 42 (6): 770–775.

31. Michielutte R., Dignan M.B., Sharp P.C., Boxley J., Wells H.B., Skin cancer prevention and early detection practices in sample of rural women, “Preventive Medicine” 1996; 25 (6): 673–683.

32. Chojnacka-Szawłowska G., Kościelak R., Karasiewicz K., Majkowicz M., Kozaka J., Delays in seeking cancer diagnosis in relation to beliefs about the curability of cancer in patients with different disease locations, “Psychology & Health” 2013; 28 (2): 154–170.

33. Powe B.D., Finnie R., Cancer fatalism: The state of the science, “Cancer Nursing” 2003; 26 (6): 454–467.

34. Chavez L.R., Hubbell F.A., Mishra S.I.,Valdez R.B., The influence of fatalism on self-reported use of Papanicolaou smears, “American Journal of Preventive Medicine” 1996; 13 (6): 418–424.

35. Steptoe A., Wardle J., Locus of control and health behaviour revisited: multivariate analysis of young adults from 18 countries, “British Journal of Psychology” 2001; 92 (4): 659–672.

36. Chojnacka-Szawłowska G., Opinions about cancer and health – related behaviour in the Polish socjety, in: Maliszewski T., Wojtowicz W.J., Żerko J. (eds.), Anthology of Social and Behavioural Sciences, Linkoping University, Linkoping 2005.

37. Heidrich S.M., Egan J.J., Hengudomsub P., Randolph S.M., Symptoms, symptom beliefs, and quality of life of older breast cancer survivors: comparative study, “Oncology Nursing Forum” 2006; 33 (2): 315.

38. Morgan R., Pendleton N., Clague J.E., Horan M.A., Older people’s perceptions about symptoms, “British Journal of General Practice” 1997; 47 (420): 427–430.

39. Royer H.R., Phelan C.H., Heidrich S.M., Older breast cancer survivors’ symptom beliefs: content analysis, “Oncology Nursing Forum” 2009; 36 (4): 463.

40. Vos M.S., De Haes J.C.J.M., Denial in cancer patients, an explorative review, “Psycho-Oncology” 2007; 16 (1): 12–25.

41. Lewis C. L., Kistler C.E., Amick H.R., Watson L.C., Bynum D.L., Walter L.C., Pignone M.P., Older adults’ attitudes about continuing cancer screening later in life: pilot study interviewing residents of two continuing care communities, “BMC Geriatrics” 2006; 6 (1): 1.

42. Bouchardy C., Rapiti E., Fioretta G., Laissue P., Neyroud-Cas I., Schäfer P.,... Vlastos G., Undertreatment strongly decreases prognosis of breast cancer in elderly women, “Journal of Clinical Oncology” 2003; 21 (19): 3580–3587.

43. Muss H.B., Woolf S., Berry D., Cirrincione C., Weiss R.B., Budman D.,... Cohen H., Adjuvant chemotherapy in older and younger women with lymph node-positive breast cancer, “Journal of American Medical Association” 2005; 293 (9): 1073–1081.

44. Goldberg R.M., Tabah-Fisch I., Bleiberg H., De Gramont A., Tournigand C., Andre T., Sargent D.J., Pooled analysis of safety and efficacy of oxaliplatin plus fluorouracil/leucovorin administered bimonthly in elderly patients with colorectal cancer, “Journal of Clinical Oncology” 2006; 24 (25): 4085–4091.

45. Talarico L., Chen G., Pazdur R., Enrollment of elderly patients in clinical trials for cancer drug registration: 7-year experience by the US Food and Drug Administration, “Journal of Clinical Oncology” 2004; 22 (22): 4626–4631.

46. Koehne N., Ochrona zdrowia gospodarstwach domowych 2013 r., GUS, Warszawa 2013.

47. Chojnacka-Szawłowska G., Poczucie zagrożenia chorobą nowotworową przez palących niepalących, in: G. Chojnacka-Szawłowska B., Pastwa-Wojciechowska (eds.), Kliniczne sądowo-penitencjarne aspekty funkcjonowania człowieka, Oficyna Wydawnicza Impuls, Kraków 2007.

48. Schwartz K.L., Crossley-May H., Vigneau F.D., Brown K., Banerjee M., Race, socio-economic status and stage at diagnosis for five common malignancies, “Cancer Causes & Control” 2003; 14 (8): 761–766.

49. WHO Center for Health Development, Ageing and Health Technical Report; http://www.who.int/kobe_centre/ageing/ahp_vol5_glossary.pdf?ua=1 (accessed: 16.05.2016).

50. GUS, Ludność województwie dolnośląskim. Stan struktura demograficzno-społeczna, Narodowy Spis Powszechny Ludności Mieszkań 2011, www.wroclaw.stat.gov.pl (accessed: 07.05.2012).

51. Freeman H., Race, poverty, and cancer, “Journal of the National Cancer Institute” 1991; 83 (8): 526–527.

52. Miles A., Voorwinden S., Chapman S., Wardle J., Psychologic predictors of cancer information avoidance among older adults: The role of cancer fear and fatalism, “Cancer Epidemiology Biomarkers & Prevention” 2008; 17 (8): 1872–1879.

53. Chmielewska-Ignatowicz T., Diagnoza: rak. Rzecz ważności sposobu przekazywania pacjentowi przez lekarza informacji chorobie nowotworowej, in: Synowiec-Piłat M., Łaska-Formejster A. (eds.), Społeczne konteksty chorób przewlekłych. Wybrane zagadnienia, Wydawnictwo Uniwersytetu Łódzkiego, Łódź 2013.

54. Amalraj S., Starkweather C., Nguyen C., Health literacy, communication, and treatment decision-making in older cancer patients, “Oncology” 2009; 23 (4): 369–375.

55. Tariman J.D., Berry D.L., Cochrane B., Doorenbos A., Schepp K., Physician, patient and contextual factors affecting treatment decisions in older adults with cancer: literature review, “Oncology Nursing Forum” 2012; 39 (1): 70.

56. Seetharamu N., Iqbal U., Weiner J.S., Determinants of trust in the patient–oncologist relationship, “Palliat Support Care” 2007; 5 (4): 405–409.

57. Salmon P., Young B., Dependence and caring in clinical communication: The relevance of attachment and other theories, “Patient Education and Counseling” 2009; 74 (3): 331–338.

58. Bensing J., Bridging the gap. The separate worlds of evidence-based medicine and patient centered medicine “Patient Education and Counceling” 2000; 39:17e25.

59. McKinstry B. et al., Interventions for improving patients’ trust in doctors and groups of doctors, “Cochrane Database Syst Rev” 2006; 3.

60. Mechanic D., Meyer S., Concepts of trust among patients with serious illness, “Social Science & Medicine” 2000; 51 (5): 657–668.

61. Hall M.A., Dugan E., Zheng B., Mishra A.K., Trust in physicians and medical institutions: What is it, can it be measured, and does it matter?, “Milbank Quarterly” 2001; 79 (4): 613–39.

62. CBOS, Opinie błędach medycznych zaufaniu do lekarzy. Komunikat badań NR 165/2014, Fundacja Centrum Badania Opinii Społecznej, Warszawa 2004.

63. Bonds D.E., Foley K.L., Dugan E., Hall M.A., Extrom P., An exploration of patients’ trust in physicians in training, “Journal of Health Care for the Poor and Underserved” 2004; 15 (2): 294–306.

64. Blendon R.J., Benson J.M., Hero J.O., Public trust in physicians – US medicine in international perspective, “New England Journal of Medicine” 2004: 371 (17): 1570–1572.

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