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Choosing a treatment facility

Find the finest care for the kind of cancer you have.

Whether you’re investigating treatment facilities because you’ve just been diagnosed, are seeking a second opinion, or you’re dissatisfied with the place where you’re currently being treated, you owe it to yourself to find the finest care available for the type of cancer you have.

Oncology programs and the facilities where they’re located vary in size, quality, and area of expertise. Among the most significant differences are access to state-of-the-art technologies and therapies and integration across health and wellness disciplines. For example, some facilities participate in research and clinical trials in new and investigational cancer treatments. And some offer access to comprehensive nutritional, naturopathic, and other complementary therapies in additional to conventional medical treatments. It’s important to find a program that harnesses all the tools you want at your disposal to fight cancer.

Your diagnosis should also play a role in helping you determine where to get treated. If you have a type of cancer that typically responds well to standard treatment, a well-regarded local hospital may offer appropriate care. However, if you require more complex or specialized treatment, you may want to consider going a longer distance to a facility with the technology and expertise to treat the type of cancer you have.

Other factors that may complicate your decision are whether family or work may limit your ability to travel for treatment. Keep in mind though, that since much of your ongoing care may be handled in an outpatient clinic, you may be able to be treated at more than one facility — perhaps one closer to home and one in another city. That way, you may be able to limit your travel for important milestones in your treatment while undertaking more routine care locally.

Whether you seek treatment at home or across the country, you want to look for a facility that has extensive experience treating the type of cancer you have and performing the specific procedures you may need.

Making a choice

As a general rule, larger hospitals treat more individual cases of cancer each year. Both large and small specialized institutions have pioneered new treatments or approaches and have distinguished reputations. Here’s an overview:

University medical centers are teaching hospitals associated with university medical schools. Individual centers may focus on cancer research and treatment. Some well-known cancer specialists are affiliated with particular institutions. Keep in mind, though, that some university centers have stronger reputations than others, and that some people find large hospitals bureaucratic and impersonal.

Community and regional hospitals are extremely diverse. The quality of care varies widely, from excellent to inadequate. Certain local hospitals are affiliated with university centers and their experienced oncologists. Some — but not all — have appropriate accreditation.

Cancer centers may offer state-of-the-art technology, an experienced staff, and a full range of services, including complementary therapies. While some are excellent, others may compromise on facilities and staff to keep costs down.

Outpatient clinics may be independent oncology practices or departments of a hospital or cancer center. Most chemotherapy treatments are administered in an outpatient setting, as is most radiation therapy.