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KMID : 0613620120320040577
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Health Social Welfare Review
2012 Volume.32 No. 4 p.577 ~ p.604
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Diagnostic and Therapeutic Delays of Breast Cancer for Korean Women
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Rhee Young-Sun
Han In-Young
Lim Jung-Won
Kang Bang-Geul
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Abstract
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The identification of barriers to diagnostic and therapeutic delays for breast cancer patients can provide a new framework for cancer prevention and control. This study aims to 1) explore current status and causes of diagnostic and therapeutic delays, and 2) investigate how sociodemographic and medical characteristics, perception of delays, and social support influence diagnostic and therapeutic delays for Korean breast cancer patients. A total of 287 adult women were recruited from nine hosptials in Korea. Results indicated that the mean time taken from the discovery of an abnormality to obtaining medical care(diagnositic delay) was 2.8 months (SD=8.4), and the mean time taken from obtaining a diagnosis to cancer treatment (therapeutic delay) was 2.4 months (SD=9.7). Patients with financial difficulties were more likely to report diagnostic and therapeutic delays. In terms of social support, the low social support group was more likely than the high social support group to delay in obtaining medical care; however, the therapeutic delay was not significantly different by the level of social support. The most important factor in the diagnostic delay was perception of diagnositic delay, while emotional and information support was the most important factor in the therapeutic delay. This study will serve as a basis for reducing barriers to diagnostic and therapeutic delays for breast cancer patients.
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KEYWORD
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Breast Cancer Patient, Breast Self Examination, Diagnostic Delay, Therapeutic Delay, Social Support
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