Table 2 Community treatment: health professionals’ concerns before starting the trial
Domain | Comment | Source |
Patient safety concerns | A lot of outpatients are very anxious about things and they do take a great deal of security from the perception of being surrounded by quality and expertise …. | Oncologist |
Patient safety concerns | It is infusion side effects and having the support available | Oncologist |
Staff support | The nurses will be doing it in isolation, they can’t ask anyone to come and have a look and it’s quite nice often to run things past someone else. | Oncologist |
Staff safety concerns (home) | If you are turning up to a not so great area in the dark … someone may think that you are carrying drugs in there that may be of value to them | Chemotherapy nurse |
Staff safety concerns (home) | If something went wrong you are on your own, you’ve got no back-up whatsoever if anything happened | Chemotherapy nurse |
Staff travel | What happens if we have a crash on the way to the practice? Or the vehicle breaks down? Where do we park? Do we have set parking and are we OK to park there? | Chemotherapy nurse |
Resource concerns | You are paying for the nurses to go out and treat one or two patients in the community. These are very specialist, highly qualified nurses and some of the pool is being diluted by them going into the study. You are not maximizing what is actually a very precious resource | Oncologist |
Resource concerns | An extreme waste of resources for one trained nurse just to treat two patients in an entire day. | Chemotherapy nurse |
Financial | I cannot see the economics: it just does not make sense to train the number of nurses that we would need | Oncologist |
Financial | I suspect it would be expensive, because you are going to have less productivity. I think the cost could be minimized over time getting things more fluid, getting things to move, but I think initially costs are going to be very high | Manager |
