Coping strategies of cancer patients in Ukraine.


Journal

The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 01 02 2019
revised: 12 04 2019
accepted: 14 04 2019
pubmed: 17 5 2019
medline: 29 5 2020
entrez: 17 5 2019
Statut: ppublish

Résumé

This case study explores the coping strategies of oncology patients and their family members in Ukraine. These coping strategies are seen as an individual-level response to the organizational and financial failures of the Ukrainian health care system. Based on semistructured interviews with medical doctors, patients, representatives of charitable foundations, and policy makers, we identify a variety of coping strategies, including personal connections and informal payments. Unequal access to diagnostic and treatment services is observed: coping strategies are developed by patients and their families taking into account the available financial and social capital. Importantly, we could not identify a typical path for cancer patients as cancer patients act in an environment of great uncertainty-in terms of their prognosis and in terms of the cost of treatment. With a weak state and financial uncertainty, patients and physicians perceive coping strategies rather positively as it may contribute to the chance of life.

Identifiants

pubmed: 31095792
doi: 10.1002/hpm.2802
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1423-1438

Subventions

Organisme : European Commission Horizon 2020 Innovative Training Network CASPIAN
ID : SEP-210161673

Informations de copyright

© 2019 John Wiley & Sons, Ltd.

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Auteurs

Olena Levenets (O)

Tallinn School of Business and Governance, Tallinn University of Technology, Tallinn, Estonia.

Tetiana Stepurko (T)

School of Public Health, National University of Kyiv-Mohyla Academy, Kyiv, Ukraine.

Abel Polese (A)

Tallinn School of Business and Governance, Tallinn University of Technology, Tallinn, Estonia.

Milena Pavlova (M)

Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

Wim Groot (W)

Top Institute Evidence-Based Education Research (TIER), Maastricht University, Maastricht, The Netherlands.

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