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European Journal of Cancer Care
Article . 2021 . Peer-reviewed
License: CC BY NC ND
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European Journal of Cancer Care
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Facilitators and barriers to participation in population‐based colorectal cancer screening programme from the perspective of healthcare professionals: Qualitative research study

Authors: Saloa Unanue‐Arza; Isabel Portillo; Isabel Idígoras; Inmaculada Arostegui; Eunate Arana‐Arri;

Facilitators and barriers to participation in population‐based colorectal cancer screening programme from the perspective of healthcare professionals: Qualitative research study

Abstract

High participation determines the success of colorectal cancer screening programmes in reducing incidence and mortality. The factors that determine participation must be studied from the perspective of professionals that implement the programme. The aim was to identify factors that facilitate or hinder the participation of the invited people in the bowel cancer screening programme of the Basque Country (Spain) from professional's perspective.Qualitative design based on individual interviews and focus groups. Thirty-eight primary care professionals who implement the programme participated (administrative staff, nurses and general practitioners). Thematic analysis was performed.Professionals show high satisfaction with the programme, and they believe firmly in its benefits. Facilitators for participation include professionals' commitment to the programme, their previous positive experiences, their optimistic attitude towards the prognosis of cancer and their trust in the health system and accessibility. Barriers include invitees' lack of independence to make decisions, fear of a positive test result and patient vulnerability and labour mobility of the health professionals.Professionals show a high degree of involvement and identify primary care is an appropriate place to carry out disease prevention. They identify the closeness to patients, the personal attitude and the characteristics of the health system as key factors that influence participation.

Keywords

mass screening, recommendation, attitudes, Attitude of Health Personnel, Health Personnel, administrative personnel, colorectal cancer, health personnel, mortality, primary health care, impact, Humans, adherence, patient participation, Colorectal Neoplasms, Delivery of Health Care, Early Detection of Cancer, Qualitative Research

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
hybrid