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Evaluation Review
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*Breast Reconstruction
*Mastectomy
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Access to Breast Prostheses via a Government-Funded Service in Victoria, Australia

Experience of Women and Service Providers

Patricia M. Livingston

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

Victoria White

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

Susan Roberts

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

Emma Pritchard

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

Anne Gibbs

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

David J. Hill

Centre for Behavioural Research in Cancer, the Cancer Council Victoria

For many women, the only alternative to breast reconstruction following a mastectomy is to use external prostheses, which need replacing regularly at a cost of up to $395 per prosthesis. Commonwealth and state governments across Australia have responded to this need by providing subsidies to assist in the purchase of breast prostheses. However, current arrangements have been highly variable and sometimes difficult to access. As part of a larger review of breast pros-thesis services in Victoria, Australia, the aim of this research was to evaluate client satisfaction among Victorian women who accessed funds through the State Government's Aids and Equipment Program, compare the responses of the program service providers with the experiences of clients accessing funding, and identify opportunities to improve service provision.

Key Words: breast cancer • mastectomy • external breast prosthesis • breast prosthesis services • government-funded programs

Evaluation Review, Vol. 27, No. 5, 563-578 (2003)
DOI: 10.1177/0193841X03256136
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