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Suivre des voies parallèles : perspectives de patientes et de médecins sur les raisons pour lesquelles les femmes tardent à rechercher des soins pour leurs symptômes de cancer du sein
Abstract
Dans la littérature sur le cancer du sein, le terme « consultation tardive » est défini comme étant un retard de > 3 mois entre le moment de l’auto-détection d’un nouveau symptôme de cancer du sein et celui de la consultation auprès d’un prestataire de soins. Il a pourtant été établi que la détection précoce du cancer du sein s’accompagne de meilleurs résultats cliniques. Cette étude qualitative avait pour but d’explorer les raisons pour lesquelles les femmes tardent à rechercher des soins pour leurs symptômes de cancer du sein en cernant les perspectives de femmes et de médecins de famille. L’analyse narrative a été employée afin de révéler la manière dont les individus donnent un sens à leurs expériences et de dégager les parties de leurs récits qui revêtent le plus d’importance à leurs yeux. Nous avons découvert des différences dans les exposés explicatifs des femmes, d’une part, et des médecins de famille, d’autre part, concernant la compréhension de ces retards. Les suggestions visant à favoriser une consultation plus précoce comprennent notamment l’amélioration de la communication édecin-patients et la promotion de la neutralité, chez les médecins et les professionnels de la santé, quant aux attributions qu’ils se forgent à propos du retard de consultation chez les femmes.
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