Patti McGillicuddy

University Health Network, Toronto, Ontario, Canada

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Publications (3)2.21 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
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    ABSTRACT: The purpose of this study was to better understand the processes of care for people living with serious mental illness who are diagnosed with cancer, from the perspectives of social workers. Interviews were conducted with 11 social workers at a multisite acute and tertiary care centre in Ontario, Canada. Analysis showed how patients diagnosed with serious mental illness were channeled to mental health services and their cancer-related concerns discredited, and how care was compromised by the compartmentalization of mental and physical health care. The study also revealed that relationships between patients and their families were often repaired or reactivated by a cancer diagnosis, and health care providers' empathy and resources mobilized. Theories of stigma are used to deepen study findings and to highlight the significance of social workers' actions in creating health care environments that are less disabling for people diagnosed with a mental illness. The vital roles social workers play in clinical coordination and in ensuring care equity-and the factors that impede these roles-are discussed.
    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 · 1.23 Impact Factor

Publication Stats

15 Citations
2.21 Total Impact Points


  • 2013
    • University Health Network
      Toronto, Ontario, Canada
    • University of Toronto
      Toronto, Ontario, Canada
  • 2009
    • Sunnybrook Health Sciences Centre
      Toronto, Ontario, Canada