Patient preferences for location of cancer surgery in a community cancer affiliate network
View abstract on PubMed
Summary
This summary is machine-generated.Patients value the hub-spoke model for cancer care, with many appreciating access to high-quality services closer to home. Understanding patient perceptions is key to optimizing these regional healthcare networks.
Area Of Science
- Oncology
- Health Services Research
- Patient Experience
Background
- Cancer centers are expanding through hub-spoke models, integrating regional hospitals for broader care.
- Patient perspectives on accessing surgical cancer care within these networks are not well understood.
Purpose Of The Study
- To explore patient perceptions of hub-spoke models in surgical cancer care delivery.
- To understand how these perceptions influence decisions on where to receive cancer surgery.
Main Methods
- Semistructured interviews with 18 breast cancer surgery patients from a rural area.
- Patients had surgery at either a hub cancer center or a spoke affiliate hospital.
- Collaborative coding and within/cross-case analyses of patient choice factors and network impressions.
Main Results
- Patients universally favored the hub hospital's brand, with mixed views on spoke hospitals.
- Key decision factors for surgery location included medical condition, access, and perceived quality.
- The hub-spoke affiliation enabled some patients to receive hub-quality care locally, while others preferred traveling to the hub.
Conclusions
- Patient perspectives are crucial for designing effective hub-spoke models in surgical cancer care.
- Affiliate network models need to consider unique patient viewpoints for optimal implementation.

