Temporality and timework: Danish endometrial cancer patients' experiences of an accelerated cancer patient pathway

被引:4
|
作者
Sidenius, Anne [1 ,2 ]
Hansen, Helle Ploug [1 ]
Mogensen, Ole [3 ,4 ]
Rudnicki, Martin [5 ]
Tjornhoj-Thomsen, Tine [6 ]
机构
[1] Univ Southern Denmark, Fac Hlth Sci, Dept Publ Hlth, Res Unit Gen Practice, JB Winslews Vej 9B, DK-5000 Odense C, Denmark
[2] Univ Hosp Zealand, Dept Gynaecol & Obstet, Roskilde, Denmark
[3] Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Res Unit Gynaecol & Obstet, Odense C, Denmark
[4] Karolinska Univ Sjukhuset, Dept Womens & Childrens Hlth, Div Obstet & Gynecol, Stockholm, Sweden
[5] Univ Hosp Odense, Dept Gynaecol & Obstet, Odense C, Denmark
[6] Univ Southern Denmark, Fac Hlth Sci, Natl Inst Publ Hlth, Copenhagen, Denmark
关键词
Inner time; anthropology; temporal dimensions; time management; fragmentation of time; qualitative research; waiting time; endometrial cancer; gynecological cancer; DIAGNOSIS; SURVIVAL;
D O I
10.1177/0961463X20912848
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
Early diagnosis and rapid treatment are deemed essential in relation to cancer. In 2007, Denmark implemented accelerated cancer patient pathways with predetermined time frames to reduce waiting time. In this article, based on fieldwork with observations at two hospitals and ethnographic interviews, we examine temporal experiences of the cancer patient pathway for endometrial cancer of the uterus at stage I. Results show that while the cancer patient pathway helps suspend thoughts of death it also brings a sense of timely confusion and concerns about whether disease has spread. This ambivalence is linked to a political discourse of cancer in general as acute and a clinical, biomedical framing of endometrial cancer in particular as "good" due to its slow growth. We demonstrate how women customize their temporal experiences to accelerate or decelerate time and argue that waiting is not necessarily a passive state. We emphasize the need for professionals to be aware that the cancer patient pathway time and subjective patient time are not always synchronized.
引用
收藏
页码:866 / 891
页数:26
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