Article Text

The role of private care in the interval between diagnosis and treatment of breast cancer in Northern Ireland: an analysis of Registry data
  1. Patricia Carney1,
  2. Anna Gavin2,
  3. Ciaran O'Neill1
  1. 1School of Business and Economics, Economics of Cancer Research Group, NUI Galway, Galway Ireland
  2. 2Northern Ireland Cancer Registry, Belfast, Northern Ireland
  1. Correspondence to Professor Ciaran O'Neill; Ciaran.oneill{at}nuigalway.ie

Abstract

Objective To examine the differences in the interval between diagnosis and initiation of treatment among women with breast cancer in Northern Ireland.

Design A cross-sectional observational study.

Setting All breast cancer care patients in the Northern Ireland Cancer Registry in 2006.

Participants All women diagnosed and treated for breast cancer in Northern Ireland in 2006.

Main outcome measure The number of days between diagnosis and initiation of treatment for breast cancer.

Results The mean (median) interval between diagnosis and initiation of treatment among public patients was 19 (15) compared with 14 (12) among those whose care involved private providers. The differences between individual public providers were as marked as those between the public and private sector—the mean (median) ranging between 14 (12) and 25 (22) days. Multivariate models revealed that the differences were evident when a range of patient characteristics were controlled for including cancer stage.

Conclusions A relatively small number of women received care privately in Northern Ireland but experienced shorter intervals between diagnosis and initiation of treatment than those who received care wholly in the public system. The variation among public providers was as great as that between the public and private providers. The impact of such differences on survival and in light of waiting time targets introduced in Northern Ireland warrants investigation.

  • HEALTH ECONOMICS
  • HEALTH SERVICES ADMINISTRATION & MANAGEMENT

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/

View Full Text

Statistics from Altmetric.com

Supplementary materials

  • Supplementary Data

    This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

    Files in this Data Supplement:

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.