Determination Barriers to Participation in the Treatment of Breast Cancer Patients in Iran

 Introduction: Patient participation in treatment decisions has become a political necessity in many countries and health systems around the world. Globally, the treatment of cancer patients has taken a different approach. Given that cancer affects a person's physical, mental and social health, patient-centered care can be one of the appropriate approaches in cancer patients(1). The aim of this study was to determine the barriers and factors affecting patients' participation in treatment. Methods: The present study is a qualitative study using semi-structured interviews with 15 breast surgeons and 300 breast cancer patients who went to doctors' offices and clinics in Shiraz University of Medical Sciences, Tabriz, Guilan. And Kerman had come, it was done. Patients were sampled by cluster random sampling for 20 patients per physician. Confirmation of validity and reliability of the questions was done using the opinions of 15 experts. Finally, using paradigm modeling, Grand Theory was used to encode and classify the data. Findings: The results showed that patients 'fear and anxiety is the most important factor in patients' lack of cooperation and poor participation in treatment. Lack of knowledge and insufficient information of patients was the second obstacle to poor participation in treatment decisions. The findings also showed that the cost of treatment, despite the many problems for patients, had no effect on the continuation of the treatment process and the type of treatment selected. Discussion and Conclusion: Considering the effect of anxiety and the level of knowledge and education of patients as the most important barriers to patient participation in treatment is proposed, using counseling and psychotherapy strategies in line with the treatment of the disease and empowering patients with public information and Holding training classes in health centers is an effective step in increasing patient participation in treatment