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In Scotland urinary bladder carcinoma is the fifth most common cause of cancer in men and fifteenth most common among women. Due to recent advancement of treatment both patient survival rate and duration have increased. As a result, treatment expenditure and the necessity for accessing to care have increased several folds in past few years. This increased need for accessing to care has increases overall workload of the existing staffs and support structures.
Photo Credit: Cancer Research UK, 2016
In his recent paper, Dr. Khan Redzwan Habib has explored the challenges faced by patients with urinary bladder carcinoma while accessing to care in NHS- Scotland.
“There is a scope for redesigning the service. But it first needs to be identified exactly where the patients face difficulties- is it in the initial diagnostic pathway or is it their anxiety, is it lack of proper information leading to their fear or is it dissatisfaction with the treatment they are getting.” Dr. Khan said.
Dr. Khan has explored perspectives of twelve NHS health professionals to get a better understanding about sort of challenges urinary bladder carcinoma patients are facing. The major challenge identified was miscommunication between hospital staffs and patients and lack of clinical knowledge of the hospital staffs. As a result, patients sometimes miss the appointment dates or the patient who needs to be seen by the consultants urgently are put behind the patients for whom seeing the consultant is comparatively less urgent. The study has also emphasized on patients sharing their complaints with GPs starting from the very first visit rather than waiting to be referred to the specialists and tell it to them. In the paper Dr. Khan has expressed that increasing the capacity of the service would help to perform surgical procedure within an ideal time frame and would eventually be beneficial for the bladder carcinoma patients. Lack of focus from the media towards bladder cancer also plays an important role for the general population being relatively unaware about this disease.
Dr. Khan goes on to suggest that, restructuring the existing protocol for frank and microscopic haematuria, increasing the capacity of the service by establishing a cancer care center & more one-stop primary care hubs and more focus from the media towards Urinary Bladder carcinoma will make access to care more patient friendly and efficient.
Dr. Khan Redzwan Habib, Coordinator- Immunisation and Vaccine Development, World Health Organisation, Bangladesh.
A paper regarding this study has recently been published in American Journal of Health Research.
Photo Reference:Cancer Research UK, 2016.