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Lung Cancer Patients’ Conceptualization of Care Coordination in Selected Public Health Facilities of KwaZulu-Natal, South Africa

Author

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  • Buhle Lubuzo

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
    Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa)

  • Khumbulani W. Hlongwana

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
    Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa)

  • Themba G. Ginindza

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
    Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa)

Abstract

Background: Cancer patients commonly receive care, including comprehensive treatment options, from multiple specialists within and across facilities offering varying levels of care. Given this multi-layered approach to cancer care, there is a need for coordinated care enhanced through integrated information flow for optimal patient care and improved health outcomes. Objective: This study aimed to explore how patients conceptualized cancer care coordination in an integrated health care system in KwaZulu-Natal. Methods: The study employed a grounded theory design to qualitatively explore the patients’ experiences and views on cancer care coordination using in-depth interviews. Guided by the grounded theory principles, data generation and analysis were conducted iteratively, followed by systematic thematic analysis to organize data, and review and interpret comprehensive findings. This process culminated in the development of themes relating to barriers to cancer care coordination and the interface between the primary and tertiary settings. Theoretical saturation was achieved at 21 in-depth interviews with consenting respondents. Results: This study revealed that care coordination was affected by multilevel challenges, including pertinent health system-level factors, such as difficulty accessing specialty care timeously, weak communication between patients and healthcare providers, and unmet needs concerning supportive care. We found that negative experiences with cancer care erode patient trust and receptiveness to cancer care, and patients advocated for better and proactive coordination amongst different care facilities, services, and providers. Conclusions: An integrated care coordination setup is essential to create and sustain a high-performance health care system. These findings make a case for developing, implementing, and evaluating interventions to enhance the quality of cancer care for patients and ultimately improve health outcomes for patients in KwaZulu-Natal. This study will provide comprehensive data to inform professionals, policymakers, and related decisionmakers to manage and improve cancer care coordination.

Suggested Citation

  • Buhle Lubuzo & Khumbulani W. Hlongwana & Themba G. Ginindza, 2022. "Lung Cancer Patients’ Conceptualization of Care Coordination in Selected Public Health Facilities of KwaZulu-Natal, South Africa," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13871-:d:952916
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    References listed on IDEAS

    as
    1. Schang, Laura & Waibel, Sina & Thomson, Sarah, 2013. "Measuring care coordination: health system and patient perspectives: report prepared for the Main Association of Austrian Social Security Institutions," LSE Research Online Documents on Economics 59573, London School of Economics and Political Science, LSE Library.
    2. Buhle Lubuzo & Khumbulani W. Hlongwana & Themba G. Ginindza, 2022. "Improving Timely Access to Diagnostic and Treatment Services for Lung Cancer Patients in KwaZulu-Natal, South Africa: Priority-Setting through Nominal Group Techniques," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    3. repec:mpr:mprres:4574 is not listed on IDEAS
    4. Bitsch, Vera, 2005. "Qualitative Research: A Grounded Theory Example and Evaluation Criteria," Journal of Agribusiness, Agricultural Economics Association of Georgia, vol. 23(1), pages 1-17.
    5. Buhle Lubuzo & Khumbulani W. Hlongwana & Mbuzeleni Hlongwa & Themba G. Ginindza, 2022. "Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
    6. repec:mpr:mprres:3836 is not listed on IDEAS
    7. Maureen Joffe & Oluwatosin Ayeni & Shane Anthony Norris & Valerie Ann McCormack & Paul Ruff & Ishani Das & Alfred I Neugut & Judith S Jacobson & Herbert Cubasch, 2018. "Barriers to early presentation of breast cancer among women in Soweto, South Africa," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-16, February.
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