Please use this identifier to cite or link to this item:
|Title: ||Determining factors that influence access and uptake of radiation therapy|
|Authors: ||Sundaresan, Purnima|
|Issue Date: ||21-Jul-2015|
|Publisher: ||University of Sydney|
Sydney Medical School
Radiation therapy (RT) is an important, cost-effective cancer treatment yet remains underutilised. This research aimed to develop a conceptual framework for consideration of RT-access, examine factors perceived to impact on RT-access and RT-utilisation, define RT-inconvenience, determine its impact on RT-utilisation and develop a measure to quantify it.
An RT-access framework was constructed and used to examine (qualitatively and quantitatively) factors influencing RT-utilisation. The impact of RT-inconvenience on uptake of breast conserving treatment (using RT) was determined in a population of early breast cancer patients. The initial phase of development of the RT-Inconvenience Measure (RIM) was undertaken.
RT-access requires RT-opportunity (availability, affordability, adequacy and acceptability) and its translation to RT-utilisation. Several factors affect the latter. These include perceptions of RT, its benefit and its side effects (risks, management and impact), fear and anxiety about RT, travel, accommodation and relocation for RT. Reducing RT-inconvenience increased uptake of breast conserving treatment for early breast cancer. 38 RT-inconvenience issues were identified for the RIM.
The RT-access framework could facilitate further examination of RT-utilisation and guide interventions to improve it. Several factors, including RT-inconvenience, impact on translation of RT-opportunity to RT-utilisation. The RIM, once developed, may allow quantification of RT-inconvenience.|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||PhD Doctorate|
|Type of Publication: ||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
This work is protected by Copyright. All rights reserved. Access to this work is provided for the purposes of personal research and study. Except where permitted under the Copyright Act 1968, this work must not be copied or communicated to others without the express permission of the copyright owner. Use the persistent URI in this record to enable others to access this work.
|SUNDARESAN Purnima - Final Thesis.pdf||Thesis||3.09 MB||Adobe PDF|
Items in Sydney eScholarship Repository are protected by copyright, with all rights reserved, unless otherwise indicated.