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Table 1 Codebook that was used for the qualitative thematic analysis

From: Pathways to ovarian cancer diagnosis: a qualitative study

Deductive Code

Inductive Theme

Sub-Themes

Appraisal

Access to care

Established doctor-patient relationships; continuity of care

Avoidant coping strategy

Fear of a serious medical diagnosis

Perception of underlying health

 

Concerns about the patient-provider relationship

Fear of judgment from provider

Nonspecific symptoms

 

Management and normalization of symptoms

Menopause; aging; benign condition; existing medical condition

Help-Seeking

Access to care

Bringing up symptoms because of routine healthcare visits; continuity of care; insurance; cost of care; provider availability; patient work or school schedule

Avoidant coping strategy

Fear of a serious medical diagnosis or of medical tests

Persistence in seeking care

 

Perception of underlying health

 

Concerns about the patient-provider relationship

Dislike of doctors; concern of judgement from providers; feeling comfortable with a provider; embarrassment surrounding symptoms

Social support

 

Worsening, extreme, or abnormal symptoms

 

Diagnostic

Access to care

Continuity of care; quality of care (referrals and workup); accessibility (transportation; distance to healthcare facility); availability (provider availability; ability to schedule around other responsibilities, e.g., work and school); affordability of care

Provider perception of patient risk

 

Features of rapid diagnoses

 

Features of complex diagnoses

 

Pre-Treatment

Access to care

Quality of care (method of receipt of diagnosis, established referral pathways between referring physician and gynecologic oncology); accessibility and availability of care (rapid referrals, distance to cancer center, transportation and lodging); affordability; education; language

Social support

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