Abstract
Objectives. To illustrate how personal choice, or client self-reliance, is a determining factor in the management of cancer patients’ care in northern Aboriginal communities. Study design. Multiple-site study done in the northwestern part of the Canadian Province of Ontario. Method. In-depth interviews with professionals and paraprofessionals involved in community-based delivery of cancer care. Results. Study details how perceived care options, gender, awareness of disease and treatment, reaction to system-linked problems in care delivery, as well as cultural preferences influence clients’ choices and care outcomes. Conclusion. The study underlines the interdependence between personal choice and the health care system; “bad” experiences with the system cause clients to disengage from care, while client disengagement results in reduced care options.
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