'The edge effect':  an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales

Rachel Iredale; Lesley Jones; Jonathon Gray; Jenny Deaville

doi:10.1016/j.healthplace.2004.06.005

'The edge effect': an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales

Rachel Iredale, Lesley Jones, Jonathon Gray, Jenny Deaville

Faculty of Life Sciences and Education

Research output: Contribution to journal › Article › peer-review

Abstract

This exploratory study examines the role of rurality in referrals from primary care to the Cancer Genetics Service for Wales (CGSW) through a case study of referrals from Montgomeryshire, a predominantly rural area in mid-Wales located adjacent to the English border. Awareness of CGSW amongst practitioners is low. We found that rurality plays a role in referral behaviour as distance, time travelling and accessibility by car and public transport are all perceived to have an impact on the patient's decision to attend a clinic appointment. Some patients are being referred outside Wales as ease of access to services is considered more important than distance.

Original language	English
Pages (from-to)	197-204
Number of pages	8
Journal	Health and Place
Volume	11
Issue number	3
DOIs	https://doi.org/10.1016/j.healthplace.2004.06.005
Publication status	Published - Sept 2005

Keywords

Awareness
Genetic Testing
Guidelines as Topic
Humans
Neoplasms
Primary Health Care
Referral and Consultation
Rural Population
Wales

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.healthplace.2004.06.005Licence: CC BY-NC-ND

Cite this

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title = "'The edge effect': an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales",

abstract = "This exploratory study examines the role of rurality in referrals from primary care to the Cancer Genetics Service for Wales (CGSW) through a case study of referrals from Montgomeryshire, a predominantly rural area in mid-Wales located adjacent to the English border. Awareness of CGSW amongst practitioners is low. We found that rurality plays a role in referral behaviour as distance, time travelling and accessibility by car and public transport are all perceived to have an impact on the patient's decision to attend a clinic appointment. Some patients are being referred outside Wales as ease of access to services is considered more important than distance.",

keywords = "Awareness, Genetic Testing, Guidelines as Topic, Humans, Neoplasms, Primary Health Care, Referral and Consultation, Rural Population, Wales",

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AU - Gray, Jonathon

AU - Deaville, Jenny

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AB - This exploratory study examines the role of rurality in referrals from primary care to the Cancer Genetics Service for Wales (CGSW) through a case study of referrals from Montgomeryshire, a predominantly rural area in mid-Wales located adjacent to the English border. Awareness of CGSW amongst practitioners is low. We found that rurality plays a role in referral behaviour as distance, time travelling and accessibility by car and public transport are all perceived to have an impact on the patient's decision to attend a clinic appointment. Some patients are being referred outside Wales as ease of access to services is considered more important than distance.

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KW - Genetic Testing

KW - Guidelines as Topic

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KW - Neoplasms

KW - Primary Health Care

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