Table 1.
Codebook that was used for the qualitative thematic analysis
| 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 |