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Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals

Author

Listed:
  • Celmira Laza-Vásquez

    (Health Care Research Group (GRECS), Department of Nursing and Physiotherapy, University of Lleida-IRBLleida, 25198 Lleida, Spain)

  • María José Hernández-Leal

    (Research Centre on Economics and Sustainability (ECO-SOS), Department of Economics, Rovira i Virgili University (URV), 43003 Tarragona, Spain
    Research Group in Statistical and Economic Analysis in Health (GRAEES), 43204 Reus, Spain)

  • Misericòrdia Carles-Lavila

    (Research Centre on Economics and Sustainability (ECO-SOS), Department of Economics, Rovira i Virgili University (URV), 43003 Tarragona, Spain
    Research Group in Statistical and Economic Analysis in Health (GRAEES), 43204 Reus, Spain)

  • Maria José Pérez-Lacasta

    (Research Centre on Economics and Sustainability (ECO-SOS), Department of Economics, Rovira i Virgili University (URV), 43003 Tarragona, Spain
    Research Group in Statistical and Economic Analysis in Health (GRAEES), 43204 Reus, Spain)

  • Inés Cruz-Esteve

    (Primer de Maig Basic Health Area, Catalan Health Institute (ICS), 25003 Lleida, Spain)

  • Montserrat Rué

    (Research Group in Statistical and Economic Analysis in Health (GRAEES), 43204 Reus, Spain
    Department of Basic Medical Sciences, University of Lleida-IRBLleida, 25198 Lleida, Spain)

  • on behalf of the DECIDO Group

    (Collaborators of the DECIDO group are indicated in the Acknowledgment section.)

Abstract

This study explored the barriers and facilitators to the implementation of a risk-based breast cancer screening program from the point of view of Spanish health professionals. A cross-sectional study with 220 Spanish health professionals was designed. Data were collected in 2020 via a web-based survey and included the advantages and disadvantages of risk-based screening and barriers and facilitators for the implementation of the program. Descriptive statistics and Likert scale responses analyzed as category-ordered data were obtained. The risk-based screening was considered important or very important to reduce breast cancer mortality and promote a more proactive role for women in breast cancer prevention, to increase coverage for women under 50 years, to promote a breast cancer prevention strategy for women at high risk, and to increase efficiency and effectiveness. Switching to a risk-based program from an age-based program was rated as important or very important by 85% of participants. As barriers for implementation, risk communication, the workload of health professionals, and limited human and financial resources were mentioned. Despite the barriers, there is good acceptance, and it seems feasible, from the perspective of health professionals, to implement a risk-based breast cancer screening program in Spain. However, this poses a number of organizational and resource challenges.

Suggested Citation

  • Celmira Laza-Vásquez & María José Hernández-Leal & Misericòrdia Carles-Lavila & Maria José Pérez-Lacasta & Inés Cruz-Esteve & Montserrat Rué & on behalf of the DECIDO Group, 2022. "Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals," IJERPH, MDPI, vol. 19(3), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1406-:d:735230
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    References listed on IDEAS

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    1. Willems, Barbara & Bracke, Piet, 2018. "Participants, Physicians or Programmes: Participants’ educational level and initiative in cancer screening," Health Policy, Elsevier, vol. 122(4), pages 422-430.
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    Cited by:

    1. Celmira Laza-Vásquez & Montserrat Martínez-Alonso & Carles Forné-Izquierdo & Jordi Vilaplana-Mayoral & Inés Cruz-Esteve & Isabel Sánchez-López & Mercè Reñé-Reñé & Cristina Cazorla-Sánchez & Marta Hern, 2022. "Feasibility and Acceptability of Personalized Breast Cancer Screening (DECIDO Study): A Single-Arm Proof-of-Concept Trial," IJERPH, MDPI, vol. 19(16), pages 1-22, August.

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