Facilitators of Survivorship Care Among Underserved Breast Cancer Survivors: a Qualitative Study

J Cancer Educ. 2017 Dec;32(4):756-763. doi: 10.1007/s13187-016-1064-8.


Research investigating facilitators of survivorship care among underserved breast cancer survivors (BCS) is sparse. This study aimed to explore facilitators of survivorship care among underserved BCS within the first 5 years following chemotherapy, radiation, or surgery for breast cancer. In-depth interviews were conducted, using a semi-structured interview guide, with underserved BCS exploring survivorship care experiences. Content analysis of the verbatim transcripts was applied, and results were summarized according to themes related to facilitators of breast cancer survivorship care. Interviews were conducted with 25 BCS. Eight main themes were identified: coordination of care; positive perceptions of health care providers; communication between patient and health care providers; financial and insurance facilitators; information, classes, and programs provided; assistance provided by organizations and health care professionals; transportation facilitators; and job flexibility. This study provides a comprehensive look at facilitators of survivorship care among underserved BCS. BCS endorsed several facilitators of their survivorship care, mainly at the interpersonal, organizational, and societal level. This study adds to the research literature on catalysts of care among underserved BCS. Results from this study are currently being used to inform a patient navigation intervention to facilitate care among this population.

Keywords: Breast cancer; Cancer survivorship; Facilitators; Interviews; Survivorship care; Underserved populations.

MeSH terms

  • Antineoplastic Agents, Hormonal / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology
  • Cancer Survivors / statistics & numerical data*
  • Continuity of Patient Care / organization & administration*
  • Female
  • Health Personnel / organization & administration*
  • Health Personnel / psychology
  • Humans
  • Interviews as Topic
  • Middle Aged
  • Qualitative Research
  • Vulnerable Populations / statistics & numerical data*


  • Antineoplastic Agents, Hormonal