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Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study
BACKGROUND: The lack of early detection in breast cancer management has been identified as the primary factor contributing to the high mortality rate. The introduction of BPJS Kesehatan, Indonesia’s national health insurance, was intended to ensure the provision of adequate health services for breas...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
West Asia Organization for Cancer Prevention
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685222/ https://www.ncbi.nlm.nih.gov/pubmed/37642061 http://dx.doi.org/10.31557/APJCP.2023.24.8.2749 |
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author | Icanervilia, Ajeng Viska Choridah, Lina Van Asselt, Antoinette D.I. Vervoort, Johanna P.M Postma, Maarten J. Rengganis, Anggraeni Ayu Kardinah, Kardinah |
author_facet | Icanervilia, Ajeng Viska Choridah, Lina Van Asselt, Antoinette D.I. Vervoort, Johanna P.M Postma, Maarten J. Rengganis, Anggraeni Ayu Kardinah, Kardinah |
author_sort | Icanervilia, Ajeng Viska |
collection | PubMed |
description | BACKGROUND: The lack of early detection in breast cancer management has been identified as the primary factor contributing to the high mortality rate. The introduction of BPJS Kesehatan, Indonesia’s national health insurance, was intended to ensure the provision of adequate health services for breast cancer patients. This study aimed to investigate the current state of health services in Indonesia concerning the early detection of breast cancer, following the implementation of BPJS Kesehatan introduction. METHODS: The study was conducted in 2017 in Yogyakarta, Indonesia. Subjects were recruited using a purposive sampling technique with maximum variation. The sample comprised breast cancer patients, health care professionals (HCPs), and healthy women from the general population with no history of breast cancer. The subjects’ experiences and knowledge of health services regarding the early detection of breast cancer were investigated through in-depth interviews. Thematic analysis was used to synthesize the results from interviews with 25 participants. RESULT: This study identified several issues that hinder the timely detection of breast cancer. The lack of both screening and diagnostic procedures emerged as a prominent obstacle in breast cancer management. The study identified the following barriers: (1) limited community knowledge about early detection; (2). lack of urgency among patients to seek medical treatment; (3) limited access to health facilities; and (4) inconsistent adherence among health care professionals to guidelines for both screening and diagnostic procedures. CONCLUSIONS: This study revealed multiple factors contributing to the delay in breast cancer detection in Indonesia, leading to suboptimal management of the disease. It is crucial for the government to prioritize the improvement of enabling factors across all levels of care for early detection. These factors include initiatives to increase public awareness, improve access to health services, strengthen the referral system, and enhance health facilities. |
format | Online Article Text |
id | pubmed-10685222 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | West Asia Organization for Cancer Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-106852222023-11-30 Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study Icanervilia, Ajeng Viska Choridah, Lina Van Asselt, Antoinette D.I. Vervoort, Johanna P.M Postma, Maarten J. Rengganis, Anggraeni Ayu Kardinah, Kardinah Asian Pac J Cancer Prev Research Article BACKGROUND: The lack of early detection in breast cancer management has been identified as the primary factor contributing to the high mortality rate. The introduction of BPJS Kesehatan, Indonesia’s national health insurance, was intended to ensure the provision of adequate health services for breast cancer patients. This study aimed to investigate the current state of health services in Indonesia concerning the early detection of breast cancer, following the implementation of BPJS Kesehatan introduction. METHODS: The study was conducted in 2017 in Yogyakarta, Indonesia. Subjects were recruited using a purposive sampling technique with maximum variation. The sample comprised breast cancer patients, health care professionals (HCPs), and healthy women from the general population with no history of breast cancer. The subjects’ experiences and knowledge of health services regarding the early detection of breast cancer were investigated through in-depth interviews. Thematic analysis was used to synthesize the results from interviews with 25 participants. RESULT: This study identified several issues that hinder the timely detection of breast cancer. The lack of both screening and diagnostic procedures emerged as a prominent obstacle in breast cancer management. The study identified the following barriers: (1) limited community knowledge about early detection; (2). lack of urgency among patients to seek medical treatment; (3) limited access to health facilities; and (4) inconsistent adherence among health care professionals to guidelines for both screening and diagnostic procedures. CONCLUSIONS: This study revealed multiple factors contributing to the delay in breast cancer detection in Indonesia, leading to suboptimal management of the disease. It is crucial for the government to prioritize the improvement of enabling factors across all levels of care for early detection. These factors include initiatives to increase public awareness, improve access to health services, strengthen the referral system, and enhance health facilities. West Asia Organization for Cancer Prevention 2023 /pmc/articles/PMC10685222/ /pubmed/37642061 http://dx.doi.org/10.31557/APJCP.2023.24.8.2749 Text en https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | Research Article Icanervilia, Ajeng Viska Choridah, Lina Van Asselt, Antoinette D.I. Vervoort, Johanna P.M Postma, Maarten J. Rengganis, Anggraeni Ayu Kardinah, Kardinah Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title | Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title_full | Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title_fullStr | Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title_full_unstemmed | Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title_short | Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study |
title_sort | early detection of breast cancer in indonesia: barriers identified in a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685222/ https://www.ncbi.nlm.nih.gov/pubmed/37642061 http://dx.doi.org/10.31557/APJCP.2023.24.8.2749 |
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