On-line journal club: Critical Appraisal Using CASP


Received: 21 September 2018 Revised: 12 February 2019 Accepted: 16 February 2019

DOI: 10.1002/pon.5035


Comparing provider and patient views of issues for low‐ resourced breast cancer patients

Cassandra J. Enzler1 | Shioban Torres2 | Jennifer Jabson3 | Arin Ahlum Hanson4 |

Deborah J. Bowen5

1Public Health Department, UT Health Science

Center at Houston, Houston, Texas

2Community Health Sciences, Boston

University, Boston, Massachusetts

3Department of Public Health, University of

Tennessee, Knoxville, Tennessee

4Living Beyond Breast Cancer, Program

Administration, Bala Cynwyd, Pennsylvania

5Department of Bioethics and Humanities,

University of Washington, Seattle, Washington


Deborah J. Bowen, Department of Bioethics

and Humanities, University of Washington,

1959 NE Pacific Street A204, Seattle, WA


Email: [email protected]

Funding information

Centers for Disease Control and Prevention,

Grant/Award Number: 1 U58 DP005403

1018 © 2019 John Wiley & Sons, Ltd.


Objective: The purpose of this study was to compare provider and patient views

from the same clinical settings on issues raised by low‐socioeconomic status (SES)

breast cancer survivors.

Methods: We conducted qualitative interviews among two groups: low‐SES breast

cancer survivors (n = 37) and medical personnel (ie, physicians, nurses, and navigators;

n = 8) who interact and serve with these patients from two geographically distinct

low‐resourced clinical settings. These semistructured qualitative interviews used

grounded theory to identify several potential themes, such as finances, resources,

and medical care. Transcripts were coded and summarized into themes.

Results: We analyzed each type of interview data separately then compared

patient and provider perspectives. From these qualitative interviews, we discovered

that low‐SES breast cancer survivors reported many unmet needs, including transpor-