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How important are out-of-pocket costs to rural patients' cancer care decisions?(ORIGINAL ARTICLE/ARTICLE ORIGINAL)(Report)

Canadian Journal of Rural Medicine

| March 22, 2009 | Mathews, Maria; West, Roy; Buehler, Sharon | COPYRIGHT 2009 Canadian Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

INTRODUCTION

The treatment of complex diseases such as cancer requires highly specialized professionals, equipment and services. For example, in Newfoundland and Labrador, the bulk of cancer services is centralized in St. John's, the provincial capital where, in 2007, 183 469 (36.2%) of the province's 506 275 population lived. (1) St. John's has the sole radiotherapy facility in the province and is home to all the province's oncologists. However, 42.2% (213 370) of the province's population lives in rural communities. (2) Some chemotherapy and follow-up may be offered in a number of the regional centres in the province (e.g., Corner Brook, Gander, Grand ...

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