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Physicians' Awareness of the Breast Cancer Survivors' Unmet Needs in Korea

Journal of Breast Cancer 2021년 24권 1호 p.85 ~ 96
이일균, 이지현, 이세경, 신혁재, 정소연, 이종원, 김지선, 이민혁, 이주형, 윤현조,
소속 상세정보
이일균 ( Lee Il-Kyun ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Surgery
이지현 ( Lee Ji-Hyoun ) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Surgery
이세경 ( Lee Se-Kyung ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Surgery
신혁재 ( Shin Hyuk-Jae ) - Myongji Hospital Department of Surgery
정소연 ( Jung So-Youn ) - National Cancer Center Breast Cancer Center
이종원 ( Lee Jong-Won ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
김지선 ( Kim Zi-Sun ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Surgery
이민혁 ( Lee Min-Hyuk ) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Surgery
이주형 ( Lee Ju-Hyung ) - Chonbuk National University Medical School Department of Preventive Medicine
윤현조 ( Youn Hyun-Jo ) - Chonbuk National University Medical School Chonbuk National University Hospital Department of Surgery

Abstract


Purpose: Physicians' awareness of their cancer patients' unmet needs is an essential element for providing effective treatment. This study investigated the accuracy of physicians' awareness of breast cancer survivors' unmet needs in Korea.

Methods: A cross-sectional interview survey was performed among 106 physicians and 320 Korean breast cancer survivors. The Comprehensive Needs Assessment Tool was administered to physicians and cancer survivors after obtaining their written informed consent to participate. Data were analyzed using t-test, analysis of variance, and multiple regression analysis.

Results: The level of unmet needs was highest in the hospital service domain (mean ± standard deviation: 2.19 ± 0.82), and the top-ranked unmet need item was “wished my doctor to be easy, specific, and honest in his/her explanation” (2.44 ± 0.93). Higher unmet needs were correlated with the presence of a genetic counseling clinic. They were not associated with age, sex, marital status, religion, department, working period, type of institution, number of staff, and number of operations. In multiple regression analysis, the presence of a genetic counseling clinic was associated with a higher level of recognition for psychological problems, social support, hospital service, and information and education needs. Physicians overestimated breast cancer survivors' unmet needs in all domains, compared to their self-reported unmet needs. The discordance in the perceived unmet needs was highest in the ‘family/personal relationship problems’ domain.

Conclusions: Physicians who treat Korean breast cancer survivors rated the level of unmet needs of breast cancer survivors as highest in the hospital service domain. The presence of a genetic counseling clinic in physicians' institutions was associated with a higher perception of survivors' unmet needs. Physicians overestimated the level of unmet needs in Korean breast cancer survivors. Efforts to reduce these discordances are needed to implement optimal survivorship care.

키워드

Breast neoplasms; Physicians; Survivors; Unmet need

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