Skip to main content

Main menu

  • Home
  • Content
    • Current issue
    • Past issues
    • Collections
  • Authors & Reviewers
    • Overview for authors
    • Preparing manuscripts
    • Submission checklist
    • Publication fees
    • Forms
    • Editorial policies
    • Editorial process
    • Patient-Oriented Research
    • Manuscript progress
    • Submitting a letter
    • Information for reviewers
    • Open access
  • Alerts
    • Email alerts
    • RSS
  • About
    • General information
    • Staff
    • Editorial board
    • Contact
  • CMAJ JOURNALS
    • CMAJ
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ Open
  • CMAJ JOURNALS
    • CMAJ
    • CJS
    • JAMC
    • JPN
CMAJ Open

Advanced Search

  • Home
  • Content
    • Current issue
    • Past issues
    • Collections
  • Authors & Reviewers
    • Overview for authors
    • Preparing manuscripts
    • Submission checklist
    • Publication fees
    • Forms
    • Editorial policies
    • Editorial process
    • Patient-Oriented Research
    • Manuscript progress
    • Submitting a letter
    • Information for reviewers
    • Open access
  • Alerts
    • Email alerts
    • RSS
  • About
    • General information
    • Staff
    • Editorial board
    • Contact
  • Subscribe to our alerts
  • RSS feeds
  • Follow CMAJ Open on Twitter
Research

Decision-making by surgeons about referral for adjuvant therapy for patients with non-small-cell lung, breast or colorectal cancer: a qualitative study

Robin Urquhart, Cynthia Kendell, Gordon Buduhan, Daniel Rayson, Joan Sargeant, Paul Johnson, Eva Grunfeld and Geoffrey A. Porter
January 12, 2016 4 (1) E7-E12; DOI: https://doi.org/10.9778/cmajo.20150030
Robin Urquhart
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Cynthia Kendell
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gordon Buduhan
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MDMSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daniel Rayson
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joan Sargeant
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul Johnson
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MDMSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eva Grunfeld
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MDDPhil
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Geoffrey A. Porter
Department of Surgery (Urquhart, Johnson, Porter), Department of Community Health and Epidemiology (Urquhart, Johnson, Porter), Division of Medical Education (Sargeant) and Division of Medical Oncology (Rayson), Dalhousie University, Halifax, NS; Cancer Outcomes Research Program (Urquhart, Kendell, Porter), Capital District Health Authority/Dalhousie University, Halifax, NS; Department of Surgery (Buduhan), University of Manitoba, Winnipeg, Man.; Ontario Institute for Cancer Research (Grunfeld), Toronto, Ont.; Department of Family and Community Medicine (Grunfeld), University of Toronto, Toronto, Ont.
MDMSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF
Loading

Article Figures & Tables

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Factors influencing surgeons' decision-making related to referral of patients with potentially curable cancer (non-small-cell lung, breast or colorectal cancer) to oncology services for consideration of adjuvant therapy. The degree of influence depends on decisional proximity.

Tables

  • Figures
    • View popup
    Table 1: Six dimensions related to the Penchansky and Thomas model of access to health care services25
    ModelDimensionExamples
    Original Penchansky and Thomas modelAvailability of health care resourcesResources (personnel, equipment, technology), prevailing wait times
    Accessibility as it relates to geographic considerationsCentralized services, "close to home" care, transportation
    Accommodation in terms of how health care is organized and deliveredCoordination and integration of services, satellite cancer clinics, telemedicine
    Affordability as it relates to direct and indirect costs of receiving careFunding of cancer services, insurance/drug coverage, indirect patient costs (lodging, transportation)
    Acceptability as it relates to the attitudes and characteristics of patients and providersPatient and provider attitudes toward one another, patient characteristics (e.g., age, sex, comorbid conditions, life expectancy), patient preferences, provider characteristics (sex, years of practice, level of specialization, surgery volume)
    Added*Awareness of services and indications for their usePatient and provider awareness of evidence for therapy, clinical practice guidelines, structures that support multidisciplinary dialogue/consultation

    *More recently, MacKillop identified and described this additional important dimension of access.26

    PreviousNext
    Back to top

    In this issue

    CMAJ Open: 4 (1)
    Vol. 4, Issue 1
    30 Mar 2016
    • Table of Contents
    • Index by author

    Article tools

    Respond to this article
    Print
    Download PDF
    Article Alerts
    To sign up for email alerts or to access your current email alerts, enter your email address below:
    Email Article

    Thank you for your interest in spreading the word on CMAJ Open.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Decision-making by surgeons about referral for adjuvant therapy for patients with non-small-cell lung, breast or colorectal cancer: a qualitative study
    (Your Name) has sent you a message from CMAJ Open
    (Your Name) thought you would like to see the CMAJ Open web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Citation Tools
    Decision-making by surgeons about referral for adjuvant therapy for patients with non-small-cell lung, breast or colorectal cancer: a qualitative study
    Robin Urquhart, Cynthia Kendell, Gordon Buduhan, Daniel Rayson, Joan Sargeant, Paul Johnson, Eva Grunfeld, Geoffrey A. Porter
    Jan 2016, 4 (1) E7-E12; DOI: 10.9778/cmajo.20150030

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Share
    Decision-making by surgeons about referral for adjuvant therapy for patients with non-small-cell lung, breast or colorectal cancer: a qualitative study
    Robin Urquhart, Cynthia Kendell, Gordon Buduhan, Daniel Rayson, Joan Sargeant, Paul Johnson, Eva Grunfeld, Geoffrey A. Porter
    Jan 2016, 4 (1) E7-E12; DOI: 10.9778/cmajo.20150030
    Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
    • Tweet Widget
    • Facebook Like

    Related Articles

    • PubMed
    • Google Scholar

    Cited By...

    • No citing articles found.
    • Google Scholar

    Similar Articles

    Collections

    • Clinical
      • Oncology
        • Breast Cancer
        • Gastroenterological Cancer
        • Lung Cancer
      • Health services research
      • Surgery
        • Surgical oncology
    • Nonclinical
      • Medical Careers
        • Doctor-doctor communication

    Content

    • Current issue
    • Past issues
    • Collections
    • Alerts
    • RSS

    Authors & Reviewers

    • Overview for Authors
    • Preparing manuscripts
    • Manuscript Submission Checklist
    • Publication Fees
    • Forms
    • Editorial Policies
    • Editorial Process
    • Patient-Oriented Research
    • Submit a manuscript
    • Manuscript Progress
    • Submitting a letter
    • Information for Reviewers

    About

    • General Information
    • Staff
    • Editorial Board
    • Advisory Panel
    • Contact Us
    • Advertising
    • Media
    • Reprints
    • Copyright and Permissions
    CMAJ Group

    Copyright 2023, CMA Impact Inc. or its licensors. All rights reserved. ISSN 2291-0026

    All editorial matter in CMAJ OPEN represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

    To receive any of these resources in an accessible format, please contact us at CMAJ Group, 500-1410 Blair Towers Place, Ottawa ON, K1J 9B9; p: 1-888-855-2555; e: [email protected].

    CMA Civility, Accessibility, Privacy

     

     

    Powered by HighWire