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Physician And Patient Barriers To Radiotherapy Service Access: Treatment Referral Implications

Authors Chierchini S, Ingrosso G, Saldi S, Stracci F, Aristei C

Received 18 June 2019

Accepted for publication 14 September 2019

Published 7 October 2019 Volume 2019:11 Pages 8829—8833

DOI https://doi.org/10.2147/CMAR.S168941

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 3

Editor who approved publication: Dr Ahmet Emre Eskazan


Sara Chierchini,1 Gianluca Ingrosso,1 Simonetta Saldi,1 Fabrizio Stracci,2 Cynthia Aristei1

1Radiation Oncology Section, Department of Surgical and Biomedical Sciences, University of Perugia and Perugia General Hospital, Perugia, Italy; 2Department of Experimental Medicine, Section of Public Health, University of Perugia, Perugia, Italy

Correspondence: Gianluca Ingrosso
Department of Surgical and Biomedical Sciences, University of Perugia, Piazza Lucio Severi 1, Perugia 06132, Italy
Tel +39-075-5783259
Fax +39-075-5783614
Email ingrosso.gianluca@gmail.com

Abstract: Radiotherapy is one of the mainstays of cancer treatment, and about 60% of cancer patients receive this type of treatment during their course of treatment. An evident gap between optimal and actual radiotherapy utilization proportions has recently been reported, which has been ascribed to lack of referral to radiation oncology. There are many factors influencing the radiotherapy referral, including patient anxiety about toxicity, wrong perception of efficacy and side effects by physicians and patients, insufficient knowledge of referral process. These factors, defined as barriers can be categorized in health system barriers, physician and patient barriers. In the present brief narrative review, we discussed barriers to radiotherapy referral focusing on physician and patient barriers.

Keywords: radiotherapy, referral, barriers


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