Patti McGillicuddy

University Health Network, Toronto, Ontario, Canada

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Publications (4)2.03 Total impact

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    ABSTRACT: Objective: The purpose of this qualitative study was to investigate how frontline healthcare professionals witness and understand disparity in cancer care. Method: Six healthcare providers from a range of care settings, none with < 15 years of frontline experience, engaged with researchers in an iterative process of identifying and reflecting on equity and disparity in cancer care. This knowledge exchange began with formal interviews. Thematic analysis of the interviews form the basis of this article. Results: Participants drew attention to health systems issues, the meaning and experience of discontinuities in care for patients at personal and community levels, and the significance of social supports. Other concerns raised by participants were typical of the literature on healthcare disparities. Significance of results: Providers at the front lines of care offer a rich source of insight into the operation of disparities, pointing to mechanisms rarely identified in traditional quantitative studies. They are also well positioned to advocate for more equitable care at the local level.
    Palliative and Supportive Care 05/2013; 12(3):1-7. DOI:10.1017/S147895151200106X · 0.98 Impact Factor
  • Social Work in Mental Health 04/2013; 11(3). DOI:10.1080/15332985.2012.758075
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    ABSTRACT: The experiences that marginalized breast cancer populations have in common are rarely considered. The authors look across 3 qualitative studies to explore the experiences of older, lower-income, and Aboriginal women diagnosed with cancer and treated by the cancer care system in Ontario, Canada. The research examines critical moments in participants' narratives that parallel one another and are categorized within 2 themes: Not Getting Cancer Care and Not Getting Supportive Care. Although exploratory, the findings merit attention both for what they tell us about women's experiences, and because they suggest disparities in access to treatment and psychosocial support.
    Journal of Cancer Education 10/2009; 24(4):308-14. DOI:10.1080/08858190902997324 · 1.05 Impact Factor
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    ABSTRACT: This paper presents the results from in-depth interviews with 30 crack-using women also working in the sex trade to support their drug use. The gender roles perspective highlights traditional beliefs from past decades about the appeal of cocaine to women. Its effects on their sexuality, and the reasons they become prostitutes. These are contrasted with the harsh realities of the dangers and marginalization faced by female crack users who work the streets in the contemporary sex trade. These women operate at the lowest levels of street drug use and prostitution, experience a considerable amount of violence and sexual exploitation, and are subject to riskier practices in their sex work. Their crack addiction fuels this extreme vulnerability and contributes to their highly deviant and stigmatized social image. We conclude that, similar to findings in other studies, the increase in crack consumption and availability has had serious negative repercussions for poor women who were, or became, involved in the sex trade. Moreover, the powerful appeal of crack to these women poses a challenge for harm reduction alternatives and other services that might improve their health and safety.