When I go out its generally on rugged terrain... the camera is IN the bag. Otherwise it'd end up smashed on a rock or tree. I miss shots that way, but it beats a dead camera. It doesn't stay on my neck for long.
I've looked at every camera strap I can find in a store, which is not a great selection around here. I can't bring myself to like the ones that use the tripod plate, and the other cross body straps aren't boob friendly. There's one supposedly made for women, but since their models are built like teenage boys I remain skeptical.
I keep looking at the hand straps online, but I think carrying that much weight on my wrists would be too painful. One could possibly be a little extra security when pulling the camera out of the bag, though, so I will probably try one.