Melanoma Patient Journey: Understanding Resource Use and Bridging the Gap between Dermatologist, Surgeon and Oncologist in Different Healthcare Systems
13 Pages Posted: 8 Nov 2018More...
New scientific evidence has led to modifications in the clinical practice of handling melanoma. In healthcare systems, a wide variety of clinical procedures is currently predominant, and the various routes have a different effect on cancer patient survival. In this sense, the purpose of this article is to evaluate the journey of melanoma patients in the public and private healthcare systems in Brazil from viewpoint of different medical professionals involved in the diagnosis and treatment of the disease and the resources used for the complete delivery cycle of healthcare at different stages of the evolution of melanoma. To achieve this goal, we conducted a behavioral study by applying a questionnaire to a group of medical professionals involved in diagnosing and treating the disease. This study differs from previous publications in four general aspects: (i) while most studies evaluate the patient's journey from the viewpoint of the patients themselves, this study evaluates the opinion of the three medical specialists involved in diagnosing and treating melanoma; (ii) the results of this study have the potential to enrich our understanding of the Brazilian reality and at the same time allow us to discuss the multiple ways in which professionals from diverse specialist fields understand and explain decision-making in healthcare; (iii) this study demonstrates the complexity and diversity of diagnostic and therapeutic options in the journey of melanoma patients in Brazil, and at the same time highlights the common goal of different specialties regarding the use of the appropriate resources available in the constant fight against melanoma; (iv) finally, the results described in this work open up space for debates and reflection that are applicable not only in Brazil but in various other countries with similar realities.
Funding Statement: I would like to express my gratitude to CAPES (Brazilian Federal Agency for the Improvement of Higher Education) for their financial support.
Declaration of Interests: The authors declare no competing interests.
Ethics Approval Statement: The Regional Committee for Medical Research Ethics of the Faculty of Medical Sciences of Minas Gerais State approved the study protocol (project number 2.569.884), and written, informed consent was obtained from the of all Physicians participants. The study was performed in accordance with relevant guidelines and regulations.
Keywords: Public and private healthcare system; Journey Patient; Melanoma; Dermatologist; Oncologist; Surgeon
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