'The edge effect': an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales
'The edge effect': an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales
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DOI：
10.1016/j.healthplace.2004.06.005
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发表时间：
2005-09-01
期刊：
影响因子：
4.8
通讯作者：
Deaville, J
中科院分区：
文献类型：
--
作者：
Iredale, R;Jones, L;Deaville, J
本探索性研究考察了农村在初级保健转介到威尔士癌症遗传学服务（CGSW）中的作用，通过对来自蒙哥马利郡（位于英格兰边境附近的威尔士中部的一个主要农村地区）转介的案例研究。从业人员对CGSW的认识较低。我们发现，乡村性在转诊行为中起着作用，因为距离、时间旅行、汽车和公共交通的可达性都被认为对患者参加诊所预约的决定有影响。一些病人被转介到威尔士以外，因为人们认为方便获得服务比距离更重要。(c) 2004 Elsevier Ltd.版权所有。
This exploratory study examines the role of rurality in referrals from primary care to the Cancer Genetics Service for Wales (CGSW) through a case study of referrals from Montgomeryshire, a predominantly rural area in mid-Wales located adjacent to the English border. Awareness of CGSW amongst practitioners is low. We found that rurality plays a role in referral behaviour as distance, time travelling and accessibility by car and public transport are all perceived to have an impact on the patient's decision to attend a clinic appointment. Some patients are being referred outside Wales as ease of access to services is considered more important than distance. (c) 2004 Elsevier Ltd. All rights reserved.