Objectives/purpose
The growing number of female breast cancer survivors and their complex care needs have created ongoing challenges in providing optimum cancer survivorship care in China. However, interpretive, in-depth, and context-based perspectives from cancer care providers are considerably lacking. This qualitative study aimed to gain the views of multidisciplinary healthcare professionals (HCP) on the supportive care needs of breast cancer survivors and caregivers in China.
Sample and setting
HCP were purposively sampled from a tertiary cancer hospital in Chinese mainland, followed by snowball sampling through a nationwide network of key contacts with the assistance of research gatekeepers. The HCP recruited had different roles in oncology setting with experience in providing care to breast cancer survivors.
Procedures
One-to-one semi-structured interviews were conducted with HCP regarding the current post-treatment cancer survivorship care in China, alongside areas where the health care services can be enhanced. These interviews were performed in person or online and each lasted about 30 to 60 minutes. Data were transcribed verbatim and then analysed using a realist approach to thematic analysis.
Results
Eighteen health professionals participated in this study, contributing perspectives to the generated three themes: 1) late and long-term effects of cancer, 2) family interactions and social functioning, and 3) barriers to health care delivery. Contextualised priorities over the support for post-treatment breast cancer survivors and caregivers in China have been identified, notably including the management of treatment-related side effects as well as comorbidities and the integration of psychosocial support and community resources.
Conclusion and clinical implications
Female breast cancer survivors have faced many unaddressed long-term physical and psychological issues as well as changed social interactions after cancer treatment. The supportive care in future survivorship services in China can be improved by addressing long-term symptom burden, psychosocial needs, and promoting referrals and interdisciplinary cooperation.