Table 3.

Example Quotes from Oncology Care Providers and Administrators.

Theme	Example Quotes
Disruptions in oncology care were common	“Most of the centers [radiotherapy facilities] in Puerto Rico had interruptions of 2 weeks, and some centers had interruptions of more than 1 month in treating radiotherapy patients.” “The greatest stressor [for patients] was the transportation, for example, patients who were in radiotherapy. Radiotherapy is daily and it was almost impossible if they did not have gasoline, if they did not have transportation to get to their radiotherapy center on a daily basis.” “Patients scheduled for surgery, we had to cancel the surgery for a few weeks, and not only surgeries but also post-operative services. So there were certain patients who decided not to have surgery, or if they had recently operated and wanted to continue their services in the USA, we helped them [to continue treatment outside of PR].”
Communication between oncology providers and patients was challenging before and after the hurricanes hit	“There were clinics that had the problem that they could not even call their patients because they could not access the electronic medical records to get the patients' phone numbers.” “The doctor did a lot of communications on the radio, Facebook live, television, she used all social networks to facilitate services and let people know that we were here [treating patients].” “The lack of communications, when it most affected us was when we received patient transfers without prior notice.” “We got an emergency telephone number, because our main telephone line was not working…so that those who could not reach our clinic, could call that number.”
Patient resilience was key to resume care	“Some patients who could not communicate, showed up in person, patients came [to the hospital] from different regions of the Island.” “Many [patients] went to emergency rooms looking for help because they did not know where to locate them [their oncology providers] because their doctor was no longer there [clinics were closed].”
Local communities provided much-needed social support and resources	“We distributed over one thousand bags with supplies. They [patients] came to get their treatment and left with a bag with toilet paper, razors, sanitary products, grocery…” “I know that a radiotherapy center in Mayagüez helped patients with transportation...”