The impact of the COVID-19 pandemic on perceived access to health care and preferences for health care provision in individuals (being) treated for breast cancer

• Published in: Breast cancer research and treatment Vol. 191; no. 3; pp. 553 - 564
• Main Authors: Mink van der Molen, Dieuwke R., Bargon, Claudia A., Batenburg, Marilot C. T., van Stam, Lilianne E., van Dam, Iris E., Baas, Inge O., Ernst, Miranda F., Maarse, Wiesje, Sier, Maartje, Schoenmaeckers, Ernst J. P., van Dalen, Thijs, Bijlsma, Rhodé M., Doeksen, Annemiek, van der Leij, Femke, Young-Afat, Danny A., Verkooijen, Helena M.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2022; Springer; Springer Nature B.V
• Subjects: Breast cancer; Breast Neoplasms - epidemiology; Breast Neoplasms - therapy; Cancer research; Care and treatment; Clinical Trial; Coronaviruses; COVID-19; Female; Health care; Health care access; Health care reform; Health Services Accessibility; Humans; Longitudinal Studies; Medicine; Medicine & Public Health; Oncology; Pandemics; Patients; Prospective Studies; SARS-CoV-2; Surveys; Telemedicine; COVID-19; Corona virus; Pandemic; SARS-CoV-2; Breast cancer
• ISSN: 0167-6806; 1573-7217
• DOI: 10.1007/s10549-021-06458-3

Purpose To evaluate perceived access to health care and preferences for health care provision among patients (being) treated for breast cancer during the COVID-19 pandemic. Methods Longitudinal study within the prospective, multicenter UMBRELLA cohort of patients (being) treated for breast cancer. All cohort participants enrolled in UMBRELLA between October 2013 and November 2020 were sent a COVID-19-specific survey during the first and second wave of the COVID-19 pandemic, i.e., April 2020 and November 2020, respectively. Results In total, 1106 (69.3%) and 822 (50.9%) cohort participants completed the survey in the first and second wave, respectively. The proportion of patients experiencing that their treatment or follow-up care was affected due to COVID-19 decreased from 28.4% ( n  = 198) in April 2020 to 14.8% ( n  = 103) in November 2020. Throughout the pandemic, one or more hospital consultations were postponed in 10.0% ( n  = 82) of all patients and changed into a teleconsultation in 23.1% ( n  = 190). The proportion of patients who experienced a higher threshold to contact their general practitioner due to COVID-19 decreased from 29.9% ( n  = 204) in the first wave to 20.8% ( n  = 145) in the second wave. In-person consultations remained most preferred in 35.2% ( n  = 289) of all patients. Nearly half of all patients (48.3%, n  = 396) indicated that telehealth would be a useful alternative for in-person consultations in future. Conclusion Perceived access to health care has improved substantially throughout the pandemic. Digital care is well received by patients (being) treated for breast cancer.