Reconceptualising relocation for specialist treatment: insights from New Zealand
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To date, the research on relocation has been conducted in countries such as Australia where there are vast distances that need to be travelled by regional, rural and remote patients to access specialist metropolitan treatment. This research considers the issue of relocation for specialist treatment in a New Zealand context.
The exploration of the experience of relocation from the consumers’ perspective was conducted through an iterative, qualitative research methodology using open-ended interviews conducted by speaker-phone at the time and location of each participant’s choice.
The three factors that underpin the phenomenon of ‘travel-based’ accommodation in New Zealand are the strong desire to return home, the small geographical distances that make this possible for many and the strong determination to endure hardship associated with travel when distances are long.
Any understanding of relocation for specialist treatment needs to be informed by two concepts: ‘travel-based’ relocation and ‘accommodation-based’ relocation.
Relevance of manuscript to inform research, policies and/or programs
The focus needs to be on providing supportive travel arrangements where possible. In New Zealand, as elsewhere, cancer supportive care organisations are increasingly providing volunteers to assist with travel. Such practical volunteer assistance is important, as is financial support through government subsidies to cover the cost of such travel. The insights from the study affirm the importance of health professionals who are supportive and creative in their efforts to assist people to return home. Supportive clinical care such as addressing issues in relation to nausea and pain management for those travelling must also be considered.
KeywordsHaematological malignancies Relocation Specialist treatment Travel Accommodation
The authors would like to acknowledge the contribution of Ms Pru Etcheverry, Ms Amy Munroe, Ms Christine Kerr, Ms Nicole Rawson-Huff, Mr Michael Bouwman and Ms Bo McGrath to the completion of the study. The authors would also like to express their appreciation to LBFNZ for funding the project.
Conflict of interest
The authors have no conflict of interest with regards to funding or authorship.
- 3.National Rural Health Alliance (NRHA) (2007) Submission to Australian Senate Community Affairs Committee inquiry on patient assisted travel schemes. Senate Printing Unit, Parliament House, CanberraGoogle Scholar
- 4.Standing Committee on Community Affairs (SCCA) (2007) Highway to health: better access for rural, regional and remote patients. Senate Committee Report. Senate Printing Unit, Parliament House, CanberraGoogle Scholar
- 9.McGrath P (1999) Experience of relocation for specialist treatment for haematological malignancies. Cancer Strategy 1:157–163Google Scholar
- 10.McGrath P, Rogers T (2003) Relocation for specialist treatment for paediatric acute lymphoblastic leukaemia. Austral-Asian J Cancer 2(2):107–115Google Scholar
- 13.Holloway I (2008) A–Z of qualitative research in healthcare, 2nd edn. Blackwell, OxfordGoogle Scholar
- 14.Patton M (2002) Qualitative research and evaluation methods, 3rd edn. Sage, Thousand OaksGoogle Scholar
- 15.Krathwohl D (1993) Methods of educational and social science research: an integrated approach. Longman, New YorkGoogle Scholar
- 16.Polit D, Hungler B (1995) Nursing research: principles and methods, 5th edn. Lippincott, PhiladelphiaGoogle Scholar