David Goldstein|Melanie L. Bell|Phyllis Butow|Mozes Sze|L. Vaccaro|Shengjie Dong|Winston Liauw|Rina Hui|M. H. N. Tattersall|Weng Ng|Ray Asghari|Christopher Steer|Janette Vardy|Phillip Parente|Marion Harris|Narayan Karanth|Madeleine King|Afaf Girgis|Maurice Eisenbruch|Michael Jefford
Immigrants' perceptions of the quality of their cancer care: an Australian comparative study, identifying potentially modifiable factors
Prince of Wales Hospital|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|St George Hospital|St. George Hospital|Westmead Hospital|Blacktown & Mount Druitt Hospital|University of Sydney|Royal Prince Alfred Hospital|Liverpool Hospital|Bankstown Lidcombe Hospital|University of Sydney|Box Hill Hospital|Monash Medical Centre|Royal Darwin Hospital|University of Sydney|Ingham Institute|Monash University|University of Melbourne|Peter MacCallum Cancer Centre
backgroundrecent data show falling cancer mortality general population without similar shift immigrant outcomes leading greater cancer burden mortality immigrants aims compare perceived patterns care immigrants nativeborn cancer patientspatients methodsthis hospitalbased sample firstgeneration immigrants australianborn anglo patients first year following diagnosis restricted chinese arabic greek speakers eligible participants recruited via 16 oncology clinics 18 cancer type stage commenced treatment least 1 month previously five hundred seventyone cald patients comprising 145 arabic 248 chinese 178 greek control group 274 angloaustralian patients participatedresultsimmigrants difficulty communicating doctor 73 versus 29 understanding health system 38 versus 10 differences found difficulty knowing see p 00002 length time confirm diagnosis p 004 wanting choice specialist hospital p 00001 offered opportunity see counselor p 00001 actually seeing one p 00001 significant selfreported differences regarding cancer detected time see health professional type first seen however immigrants reported difficulty knowing see previous studies showed differences patterns care according socioeconomic status ses educational level despite adjusting age sex education marital status ses time since diagnosis type cancer find significant differences instead found understanding health system confidence understanding english important factorsconclusionsthis study confirmed immigrants cancer perceive inferior quality cancer care highlight potentially modifiable factors including assistance navigating health system translated information cultural competency training health professionals