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Coping strategies of cancer patients in Ukraine

Author

Listed:
  • Olena Levenets
  • Tetiana Stepurko
  • Abel Polese
  • Milena Pavlova
  • Wim Groot

Abstract

This case study explores the coping strategies of oncology patients and their family members in Ukraine. These coping strategies are seen as an individual‐level response to the organizational and financial failures of the Ukrainian health care system. Based on semistructured interviews with medical doctors, patients, representatives of charitable foundations, and policy makers, we identify a variety of coping strategies, including personal connections and informal payments. Unequal access to diagnostic and treatment services is observed: coping strategies are developed by patients and their families taking into account the available financial and social capital. Importantly, we could not identify a typical path for cancer patients as cancer patients act in an environment of great uncertainty—in terms of their prognosis and in terms of the cost of treatment. With a weak state and financial uncertainty, patients and physicians perceive coping strategies rather positively as it may contribute to the chance of life.

Suggested Citation

  • Olena Levenets & Tetiana Stepurko & Abel Polese & Milena Pavlova & Wim Groot, 2019. "Coping strategies of cancer patients in Ukraine," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1423-1438, October.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:1423-1438
    DOI: 10.1002/hpm.2802
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    References listed on IDEAS

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    1. Sumit Gupta & Roberto Rivera-Luna & Raul C Ribeiro & Scott C Howard, 2014. "Pediatric Oncology as the Next Global Child Health Priority: The Need for National Childhood Cancer Strategies in Low- and Middle-Income Countries," PLOS Medicine, Public Library of Science, vol. 11(6), pages 1-5, June.
    2. Footman, Katharine & Roberts, Bayard & Mills, Anne & Richardson, Erica & McKee, Martin, 2013. "Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union," Health Policy, Elsevier, vol. 112(1), pages 62-69.
    3. J. Brown & N. J. Welton & C. Bankhead & S. H. Richards & L. Roberts & C. Tydeman & T. J. Peters, 2006. "A Bayesian approach to analysing the cost‐effectiveness of two primary care interventions aimed at improving attendance for breast screening," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 435-445, May.
    4. World Bank, 2017. "World Development Indicators 2017," World Bank Publications - Books, The World Bank Group, number 26447, December.
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