A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä

Patient Preferences for Cancer Nurses as Care Providers: A Systematic Review of Discrete Choice Experiments




TekijätButton, Elise; Thamm, Carla; Crichton, Megan; Milte, Rachel; Charalambous, Andreas; Christina, Juliana; Turner, Murray R.; Mahony, Jane; Crawford‐Williams, Fiona; Cook, Olivia; Doherty, Natasha; Patford, Kerry; Paterson, Catherine; Chan, Raymond J.

KustantajaWiley-Blackwell

Julkaisuvuosi2025

Lehti: Journal of Advanced Nursing

Artikkelin numerojan.70398

ISSN0309-2402

eISSN1365-2648

DOIhttps://doi.org/10.1111/jan.70398

Julkaisun avoimuus kirjaamishetkelläEi avoimesti saatavilla

Julkaisukanavan avoimuus Osittain avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1111/jan.70398


Tiivistelmä
Background

Limited literature has focused on people with cancers' preference for care providers in scenarios where trade-offs may have to be made.

Aim

To report the results of a comprehensive search and synthesis of discrete choice experiments or best-worst scaling studies (± willingness to pay estimates) in scenarios involving cancer nurses, with a focus on: (1) preferred care provider; and (2) relative importance of attributes of care provision for people with cancer.

Methods

A search was conducted across: CINAHL, Cochrane Central Register of Controlled Trials, EconLit, Medline, PsycINFO, Scopus, Web of Science Core Collection, and Google Scholar for discrete choice experiments published between January and July 2025. Data were extracted and appraised by two authors. Results were narratively synthesised.

Results

Of 461 studies screened, 11 were included, published in Australia (n = 3), UK (n = 3), and China (n = 5) including people with breast (n = 4), gastric (n = 4), prostate (n = 1), or mixed cancers (n = 2). In six studies exploring scenarios of follow-up care (i.e., survivorship/surveillance), cancer medical specialists were the preferred care provider, followed by cancer nurses, and then general practitioners. In four of the five studies of supportive care scenarios (i.e., diet and exercise advice, anxiety and depression screening), cancer nurses were the preferred care provider, followed by allied health professionals, then cancer medical specialists. The highest WTP estimate was $US226.15 for a medical specialist to provide follow-up care. For supportive care, the highest WTP was $US137.52 for a cancer nurse to provide diet-based lifestyle advice post-treatment for breast cancer.

Conclusion

Cancer nurses are highly valued by people with cancer, particularly for supportive care provision. Opportunities exist for an increase in cancer nurse specialists with expanded scope of practice, to support the preference of people with cancer to have cancer medical specialists, or cancer nurse specialists provide expert cancer follow-up care.

Patient or Public Contribution

Employees of a cancer patient advocacy group were involved in the design of the study, interpretation of the data, and the preparation of the manuscript. No patients were involved in this work. However, this systematic review prioritized patient voices by including studies that reported on the preferences of people with cancer.


Julkaisussa olevat rahoitustiedot
This work was financially supported by the McGrath Foundation (an Australian charity that funds and supports cancer nurses) who were involved in the design, interpretation, and write-up of findings.


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