Why Taranaki women choose to have a mastectomy when suitable for breast conservation treatment

Gollop, Susan J.; Kyle, Stephen; Fancourt, Michael; Gilkison, William; Mosquera, Damien

doi:10.1111/j.1445-2197.2009.05014.x

“…There has been a variety of quantitative studies and statistical analyses exploring breast cancer in New Zealand. These address a number of issues about screening (Brunton et al 2005;Curtis et al 2005b;Page and Taylor 2008;Richardson et al 2005); demographic issues related to race and socio-economic status (Cunningham et al 2010;Curtis et al 2005a;Jeffreys et al 2005;McCredie et al 1999;Sarfati et al 2006); rural and urban locations (Gollop et al 2009); and support services (Marsh et al 2010). The following outlines a few of these studies findings.…”

Section: Rationale For the Researchmentioning

confidence: 99%

“…Bourdieu's concepts of doxa and illusio also emphasised the need for promotion of public sector cancer services in New Zealand. 46 Gollop et al (2009) has already begun investigating breast cancer issues for rural and urban Taranaki women, exploring reasoning behind choosing a mastectomy when they could have kept their breast. Professor Susan Dovey at the Otago School of Medicine is also investigating treatment choices among New Zealand rural and urban breast cancer patients (The New Zealand Breast Cancer Foundation 2009).…”

Section: ) Conclusionmentioning

confidence: 99%

Autonomy, Choice and Treatment: Using Bourdieu's Theory of Practice to Explore Breast Cancer Patients' Preconceptions and Experiences of Public and Private Health Systems in New Zealand

Dobson¹

0

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<p>This thesis analyses 11 breast cancer patients’ preconceptions and experiences of public and private health sectors in New Zealand. Previous studies exploring breast cancer have analysed a range of issues including race, socio-economic and age inequalities, issues occuring between the public and private sectors, and the communication strategies patients preferred with health providers. In contrast, this thesis uses concepts from Pierre Bourdieu’s theory of practice to explore breast cancer patients’ accounts of the public and private sectors and how these accounts are shaped. For many of the women interviewed, cultural and social capital played an important role in the negotiation of the health system, whether public or private. This is because both sectors, at times, provided little information about the disease, treatment, side effects, and entitlements. In these circumstances, social and cultural capital were valuable resources providing alternative health assistance. Participants’ preconceptions when relating their choice of public or private health systems showed clear positive associations with the private health sector. When discussing their experiences, the women that used the public sector showed a positive turnaround in their opinions related to the public sector. In comparison, the women that used the private sector maintained their views regardless of some negative issues being experienced. Despite their personal experiences, both public and private participants maintained positive associations with the private sector. The reliance many of the participants had on social and cultural capital in both the public and private health sectors raises questions regarding processes related to patient information, access to services, and about whether case management of cancer services might be appropriate. The contrasts between participants’ preconceptions of the public sector in comparison to experiences highlights the need for a public campaign celebrating the successes of public cancer services.</p>

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“…There has been a variety of quantitative studies and statistical analyses exploring breast cancer in New Zealand. These address a number of issues about screening (Brunton et al 2005;Curtis et al 2005b;Page and Taylor 2008;Richardson et al 2005); demographic issues related to race and socio-economic status (Cunningham et al 2010;Curtis et al 2005a;Jeffreys et al 2005;McCredie et al 1999;Sarfati et al 2006); rural and urban locations (Gollop et al 2009); and support services (Marsh et al 2010). The following outlines a few of these studies findings.…”

Section: Rationale For the Researchmentioning

confidence: 99%

“…Bourdieu's concepts of doxa and illusio also emphasised the need for promotion of public sector cancer services in New Zealand. 46 Gollop et al (2009) has already begun investigating breast cancer issues for rural and urban Taranaki women, exploring reasoning behind choosing a mastectomy when they could have kept their breast. Professor Susan Dovey at the Otago School of Medicine is also investigating treatment choices among New Zealand rural and urban breast cancer patients (The New Zealand Breast Cancer Foundation 2009).…”

Section: ) Conclusionmentioning

confidence: 99%

Autonomy, Choice and Treatment: Using Bourdieu's Theory of Practice to Explore Breast Cancer Patients' Preconceptions and Experiences of Public and Private Health Systems in New Zealand

Dobson¹

0

View full text Add to dashboard Cite

<p>This thesis analyses 11 breast cancer patients’ preconceptions and experiences of public and private health sectors in New Zealand. Previous studies exploring breast cancer have analysed a range of issues including race, socio-economic and age inequalities, issues occuring between the public and private sectors, and the communication strategies patients preferred with health providers. In contrast, this thesis uses concepts from Pierre Bourdieu’s theory of practice to explore breast cancer patients’ accounts of the public and private sectors and how these accounts are shaped. For many of the women interviewed, cultural and social capital played an important role in the negotiation of the health system, whether public or private. This is because both sectors, at times, provided little information about the disease, treatment, side effects, and entitlements. In these circumstances, social and cultural capital were valuable resources providing alternative health assistance. Participants’ preconceptions when relating their choice of public or private health systems showed clear positive associations with the private health sector. When discussing their experiences, the women that used the public sector showed a positive turnaround in their opinions related to the public sector. In comparison, the women that used the private sector maintained their views regardless of some negative issues being experienced. Despite their personal experiences, both public and private participants maintained positive associations with the private sector. The reliance many of the participants had on social and cultural capital in both the public and private health sectors raises questions regarding processes related to patient information, access to services, and about whether case management of cancer services might be appropriate. The contrasts between participants’ preconceptions of the public sector in comparison to experiences highlights the need for a public campaign celebrating the successes of public cancer services.</p>

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Patient preferences for locoregional therapy in early-stage breast cancer

Minami

¹

,

King

²

,

Mittendorf

³

2020

Breast Cancer Res Treat

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Why Taranaki women choose to have a mastectomy when suitable for breast conservation treatment

Abstract: The rate of BCT in Taranaki is low, despite it being offered by surgeons to the majority of patients. Local availability of radiotherapy may increase the BCT rate to a level more consistent with larger centres in New Zealand. Care must be taken to provide neutral patient guidance.

Cited by 12 publications

References 16 publications

Autonomy, Choice and Treatment: Using Bourdieu's Theory of Practice to Explore Breast Cancer Patients' Preconceptions and Experiences of Public and Private Health Systems in New Zealand

Autonomy, Choice and Treatment: Using Bourdieu's Theory of Practice to Explore Breast Cancer Patients' Preconceptions and Experiences of Public and Private Health Systems in New Zealand

Autonomy, Choice and Treatment: Using Bourdieu's Theory of Practice to Explore Breast Cancer Patients' Preconceptions and Experiences of Public and Private Health Systems in New Zealand

Patient preferences for locoregional therapy in early-stage breast cancer

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