Aklile Semu Tefera, Ermiyas Endewunet Melaku, Besufekad Mulugeta Urgie, Erzik Muhammed Hassen, Tilahun Deresse Tamene, Enguday Demeke Gebeyaw
Barriers to implementing problem-based learning at the school of medicine of Debre Berhan University, Ethiopia
BMC medical education
limited resources make highquality comprehensive coordinated cancer care provision challenging rural settings rural cancer patients often rely local hospitals care develop resources strategies support highquality local cancer care critical understand current experiences rural cancer care physicians including perceived strengths challenges providing cancer care rural areas methods semistructured interviews conducted 13 cancer providers associated 12 nonmetropolitanrural iowa hospitals diagnose treat 100 cancer patients annually iterative thematic analysis conducted develop domains participants identified geographic proximity sense community strengths local care described decisionmaking processes challenges related referring patients larger centers complex procedures including lack dedicated navigators facilitate track transfers institutions occasional lack respect academic physicians participants reported desire strengthening collaborations larger urbanacademic cancer centers including access educational opportunities shared resources strategies collect monitor data quality clinical trials rural cancer care providers dedicated providing highquality care close home patients would welcome opportunities increase collaboration larger centers improve coordination comprehensiveness care collect monitor data quality care access continuing education opportunities research needed develop implementation approaches extend resources services expertise rural providers facilitate highquality cancer care cancer patients