Navigating cancer care in Ukraine: patient’s coping strategies to ensure access and quality

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dc.contributor.authorLevenets, Olenaen_US
dc.contributor.authorChernysh, Tetianaen_US
dc.contributor.authorPavlova, Milenaen_US
dc.contributor.authorGroot, Wimen_US
dc.date.accessioned2025-11-06T14:52:31Z
dc.date.available2025-11-06T14:52:31Z
dc.date.issued2025
dc.description.abstractPurpose This study investigates how socio-economic and healthcare factors shape the coping strategies of patients diagnosed with cancer in Ukraine, including the decision to forego treatment. The focus is on how these variables influence patients’ strategies to gain access to services, ensure better treatment quality, and decrease treatment costs. Methods Data were collected in 2021 through structured interviews in three oncological dispensaries and an online questionnaire among patients diagnosed with cancer in Ukraine (632 patients in total). Sequential logistic regression analyses were applied to identify patterns in selecting specific coping strategies. Results The results show that socio-economic characteristics, the perception of service quality, financial resources, and the availability of support influence the choice of coping strategies. Older patients and women are more likely to use informal payments than connections. Patients, who perceive service quality as (very) bad and those finding it hard to afford treatment, are more likely to deploy coping strategies. Higher education and urban residency also impact the coping strategy applied. Conclusion The study highlights significant disparities in the choice of coping strategy regarding cancer treatment in Ukraine. Coping strategies, including informal payments and connections, are crucial for accessing and ensuring better treatment. These findings underscore the need for evidence-informed policies to support the most vulnerable cancer care patients in Ukraine.en_US
dc.identifier.citationNavigating cancer care in Ukraine: patient’s coping strategies to ensure access and quality / Olena Levenets, Tetiana Chernysh, Milena Pavlova, Wim Groot // Cancer Causes Control. - 2025. - P. 1-9. - https://doi.org/10.1007/s10552-025-02022-2en_US
dc.identifier.issn1573-7225
dc.identifier.issn0957-5243
dc.identifier.urihttps://doi.org/10.1007/s10552-025-02022-2
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/37412
dc.language.isoenen_US
dc.relation.sourceCancer Causes Controlen_US
dc.statusfirst publisheden_US
dc.subjectcoping strategiesen_US
dc.subjectinformal practicesen_US
dc.subjectinformal patient paymentsen_US
dc.subjectconnectionsen_US
dc.subjectUkraineen_US
dc.subjectarticleen_US
dc.titleNavigating cancer care in Ukraine: patient’s coping strategies to ensure access and qualityen_US
dc.typeArticleen_US
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