2019
DOI: 10.1111/1754-9485.12887
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Measuring (and narrowing) the gap: The experience with attendance of Indigenous cancer patients for Radiation Therapy in the Northern Territory

Abstract: Introduction: Barriers exist for both Indigenous and remote patients attending cancer care facilities. We sought to measure clinical attendance of all patients referred for consideration of radiation therapy (RT) at the single radiation therapy centre in the Northern Territory (NT), with particular attention to a comparison of Indigenous and non-Indigenous patients, and to analyse methods introduced to address the attendance of patients. Methods: Patients referred for radiation therapy over a 5 year period fro… Show more

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Cited by 8 publications
(12 citation statements)
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“…Also, the small percentage of cases with metastasis at the start of treatment were excluded, even though treatment intent was defined as curative, to minimize bias. Palliative indications could likewise have influenced non-adherence, possibly reducing it further due to shorter treatments [19], although these patients have limited survival time, which would have made it very difficult to pool these patients in an analysis of those treated with curative intent due to the different aims of the therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Also, the small percentage of cases with metastasis at the start of treatment were excluded, even though treatment intent was defined as curative, to minimize bias. Palliative indications could likewise have influenced non-adherence, possibly reducing it further due to shorter treatments [19], although these patients have limited survival time, which would have made it very difficult to pool these patients in an analysis of those treated with curative intent due to the different aims of the therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Recent years have seen the NT make considerable progress in the development of cancer care services to help address some of these issues. Of particular note is the establishment of the AWCCC, which has contributed to a significant increase in Indigenous patient attendance for radiation therapy [34], the recent investment in a PET Scanner, the new six-chair chemotherapy day unit at ASH, the new four-chair chemotherapy day unit at Katherine Hospital and the rapid expansion of tele-oncology. There has also been a marked improvement in access to specialist palliative care facilities, with end-of-life care now available in Darwin, Alice Springs and Katherine.…”
Section: Discussionmentioning
confidence: 99%
“…This can result in a poorer understanding of the treatment options available, difficulty obtaining fully informed consent to the cancer treatment process and lower uptake of cancer treatment [79][80][81][82]. While much can be done to build and create safe physical environments for the care of Indigenous people undergoing cancer treatments [83], previous work has highlighted that it is the cultural and social support provided by Indigenous staff, as well as culturally appropriate, patient-centred care from non-Indigenous staff, that are of overwhelming importance [34,75,84].…”
Section: Discussionmentioning
confidence: 99%
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