IMR Press / JOMH / Volume 12 / Issue 1 / DOI: 10.31083/jomh.v12i1.21

Journal of Men’s Health (JOMH) is published by IMR Press from Volume 17 Issue 1 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with Dougmar Publishing Group.

Open Access Original Research

Supporting Patients in Making Treatment Decisions for Early Prostate Cancer: A Qualitative Study of Healthcare Professionals’ Views on Barriers and Challenges in an Asian Country

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1 Department of Family Medicine, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
2 Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
3 Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
4 Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J. Mens. Health 2016, 12(1), 18–24; https://doi.org/10.31083/jomh.v12i1.21
Published: 4 January 2016
Abstract

Background: The aim of this study is to explore the challenges faced by healthcare professionals (HCPs) in Malaysia in supporting patients with early prostate cancer in making treatment decisions.

Methods: Four in-depth individual interviews and three focus group discussions were conducted with urologists (n=11), urology trainees (n=5), oncologists (n=3) and policy makers (n=1) in Malaysia in 2012-2013. A semi-structured interview guide was used to facilitate the interviews, which were audio-recorded, transcribed verbatim and checked. Thematic approach was used to analyze the data.

Results: Challenges reported by HCPs in supporting patients in making decisions about prostate cancer treatment consisted of patient, social, healthcare professionals and health system factors. Patient-related challenges were: distrust of HCPs, difficulty in communicating information, preconceptions, attitudes to treatment, preparedness for decision making, viewing prostate cancer as taboo and fear of treatment complications, or side-effects. Social factors, such as influence of family or others, also posed a problem for HCPs seeking to support patients’ decision-making. HCP-related challenges included: differences of opinion among HCPs, uncertainty about the best treatment option and lack of interdisciplinary cooperation. Healthcare system factors challenges included: lack of support staff, time constraints, treatment availability and treatment costs. HCPs suggested that delivery of care by multi-disciplinary teams, and more use of audio-visual media, would help patients to make decisions. Conclusions: HCPs faced various challenges in supporting patients with prostate cancer in making decisions about treatment. Delivery of care by a supportive team in a specialist centre may improve the support patients receive in making decisions. 

Keywords
Cancer
decision
prostate
support
treatment
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