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

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 surv...

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Autores principales: Laza-Vásquez, Celmira, Hernández-Leal, María José, Carles-Lavila, Misericòrdia, Pérez-Lacasta, Maria José, Cruz-Esteve, Inés, Rué, Montserrat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835407/
https://www.ncbi.nlm.nih.gov/pubmed/35162427
http://dx.doi.org/10.3390/ijerph19031406
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author Laza-Vásquez, Celmira
Hernández-Leal, María José
Carles-Lavila, Misericòrdia
Pérez-Lacasta, Maria José
Cruz-Esteve, Inés
Rué, Montserrat
author_facet Laza-Vásquez, Celmira
Hernández-Leal, María José
Carles-Lavila, Misericòrdia
Pérez-Lacasta, Maria José
Cruz-Esteve, Inés
Rué, Montserrat
author_sort Laza-Vásquez, Celmira
collection PubMed
description 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.
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spelling pubmed-88354072022-02-12 Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals Laza-Vásquez, Celmira Hernández-Leal, María José Carles-Lavila, Misericòrdia Pérez-Lacasta, Maria José Cruz-Esteve, Inés Rué, Montserrat Int J Environ Res Public Health Article 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. MDPI 2022-01-27 /pmc/articles/PMC8835407/ /pubmed/35162427 http://dx.doi.org/10.3390/ijerph19031406 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Laza-Vásquez, Celmira
Hernández-Leal, María José
Carles-Lavila, Misericòrdia
Pérez-Lacasta, Maria José
Cruz-Esteve, Inés
Rué, Montserrat
Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title_full Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title_fullStr Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title_full_unstemmed Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title_short Barriers and Facilitators to the Implementation of a Personalized Breast Cancer Screening Program: Views of Spanish Health Professionals
title_sort barriers and facilitators to the implementation of a personalized breast cancer screening program: views of spanish health professionals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835407/
https://www.ncbi.nlm.nih.gov/pubmed/35162427
http://dx.doi.org/10.3390/ijerph19031406
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