Far from care: Psychosocial consequences of distance to specialized treatment for families affected by pediatric cancer

This study examines how distance to specialized pediatric cancer treatment may shape the psychosocial consequences experienced by families of children with cancer. Drawing on a time geographic perspective, the study is based on 16 qualitative interviews with parents in Denmark. Although no parent expressed willingness to compromise on treatment quality for a shorter distance, those facing extended travel reported more pronounced negative experiences. The findings suggest that longer travel exacerbates family separation, disrupts routines, and reduces opportunities for meaningful activities, with particular consequences for siblings' mental well-being and participation in leisure activities. This study highlights potential territorial challenges arising from the centralization of healthcare in Denmark by demonstrating that while the universal welfare model ensures free and equal access to treatment, geographical disparities impose constraints on families. These findings indicate the value of a strategic distribution of treatment centers across the country to ensure more geographically equitable access due to psychosocial factors.