Background. Each year, despite warnings from the American Cancer Association, many US and Canadian citizens travel to Tijuana, Mexico, for cancer care. The main criticism of these clinics is that they provide treatments that are unproven, potentially unsafe, and expensive. Despite this, about 35 clinics exist in Tijuana that provide alternative care to patients who pay cash for these services.
Objectives. To understand the lived experience of people who have made the choice to receive cancer treatment at alternative cancer clinics in Tijuana, and gain insight into the process by which that decision occurs.
Population. 5 participants were interviewed. Three adult US citizens, one Canadian, and both parents of a US pediatric patient.
Method. A phenomenological approach was used. Participants were interviewed at clinics while undergoing treatment. The researcher conducted a review of the clinics and treatments offered, along with history of the political, social, and economic climate in which the phenomena exists.
Conclusions. Themes identified in the decision-making process are rational, social and emotional. People choose caregivers based on trusting relationships and reasons that seem rational to them. Decisions are often values based, such as quality of life.
","abstract_html":"<p><strong>Background.</strong> Each year, despite warnings from the American Cancer Association, many US and Canadian citizens travel to Tijuana, Mexico, for cancer care. The main criticism of these clinics is that they provide treatments that are unproven, potentially unsafe, and expensive. Despite this, about 35 clinics exist in Tijuana that provide alternative care to patients who pay cash for these services.</p> <p><strong>Objectives.</strong> To understand the lived experience of people who have made the choice to receive cancer treatment at alternative cancer clinics in Tijuana, and gain insight into the process by which that decision occurs.</p> <p><strong>Population.</strong> 5 participants were interviewed. Three adult US citizens, one Canadian, and both parents of a US pediatric patient.</p> <p><strong>Method.</strong> A phenomenological approach was used. Participants were interviewed at clinics while undergoing treatment. The researcher conducted a review of the clinics and treatments offered, along with history of the political, social, and economic climate in which the phenomena exists.</p> <p><strong>Conclusions.</strong> Themes identified in the decision-making process are rational, social and emotional. People choose caregivers based on trusting relationships and reasons that seem rational to them. Decisions are often values based, such as quality of life.</p>","abstract_has_math":false,"creators":["Bright, Alicia"],"institution":null,"degree_name":"Master of Science","degree_level":"Master's Thesis","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Margaret Fink, EdD., RN, BC","Barbara Ganley, PhD, RN"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2005,"date_issued":"2005-08-01T07:00:00Z","date_published":"2005-08-01T07:00:00Z","updated_at":"2026-07-24T02:04:35Z","subjects":["Alternative medicine","patient decision-making","Tijuana cancer clinics","lay referral network","Alternative and Complementary Medicine","Oncology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholar.dominican.edu/masters-theses/213","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Margaret Fink, EdD., RN, BC","Barbara Ganley, PhD, RN"]},{"key":"dc:creator","label":"Author","values":["Bright, Alicia"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["1970-01-01T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Master's Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Alternative medicine","patient decision-making","Tijuana cancer clinics","lay referral network","Alternative and Complementary Medicine","Oncology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholar.dominican.edu/masters-theses/213"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background. Each year, despite warnings from the American Cancer Association, many US and Canadian citizens travel to Tijuana, Mexico, for cancer care. The main criticism of these clinics is that they provide treatments that are unproven, potentially unsafe, and expensive. Despite this, about 35 clinics exist in Tijuana that provide alternative care to patients who pay cash for these services.
Objectives. To understand the lived experience of people who have made the choice to receive cancer treatment at alternative cancer clinics in Tijuana, and gain insight into the process by which that decision occurs.
Population. 5 participants were interviewed. Three adult US citizens, one Canadian, and both parents of a US pediatric patient.
Method. A phenomenological approach was used. Participants were interviewed at clinics while undergoing treatment. The researcher conducted a review of the clinics and treatments offered, along with history of the political, social, and economic climate in which the phenomena exists.
Conclusions. Themes identified in the decision-making process are rational, social and emotional. People choose caregivers based on trusting relationships and reasons that seem rational to them. Decisions are often values based, such as quality of life.
"]},{"key":"dc:title","label":"Title","values":["The Experience of American and Canadian Cancer Patients in Deciding to Seek Alternative Care in Mexican Cancer Clinics"]}]}],"canonical_facts":{"dc:contributor":["Margaret Fink, EdD., RN, BC","Barbara Ganley, PhD, RN"],"dc:creator":["Bright, Alicia"],"dc:date.available":["1970-01-01T08:00:00Z"],"dc:description.abstract":["Background. Each year, despite warnings from the American Cancer Association, many US and Canadian citizens travel to Tijuana, Mexico, for cancer care. The main criticism of these clinics is that they provide treatments that are unproven, potentially unsafe, and expensive. Despite this, about 35 clinics exist in Tijuana that provide alternative care to patients who pay cash for these services.
Objectives. To understand the lived experience of people who have made the choice to receive cancer treatment at alternative cancer clinics in Tijuana, and gain insight into the process by which that decision occurs.
Population. 5 participants were interviewed. Three adult US citizens, one Canadian, and both parents of a US pediatric patient.
Method. A phenomenological approach was used. Participants were interviewed at clinics while undergoing treatment. The researcher conducted a review of the clinics and treatments offered, along with history of the political, social, and economic climate in which the phenomena exists.
Conclusions. Themes identified in the decision-making process are rational, social and emotional. People choose caregivers based on trusting relationships and reasons that seem rational to them. Decisions are often values based, such as quality of life.
"],"dc:identifier":["https://scholar.dominican.edu/masters-theses/213"],"dc:subject":["Alternative medicine","patient decision-making","Tijuana cancer clinics","lay referral network","Alternative and Complementary Medicine","Oncology"],"dc:title":["The Experience of American and Canadian Cancer Patients in Deciding to Seek Alternative Care in Mexican Cancer Clinics"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Master's Thesis"],"thesis:degree_name":["Master of Science"]},"updated_at":"2026-07-24T02:04:35Z"}