Articles producció científicaEconomia

Views of health professionals on risk-based breast cancer screening and its implementation in the Spanish National Health System: A qualitative discussion group study

  • Dades identificatives

    Identificador:  imarina:9244563
    Autors:  Laza-Vásquez, C; Codern-Bové, N; Cardona-Cardona, A; Hernández-Leal, MJ; Pérez-Lacasta, MJ; Carles-Lavila, M; Rué, M
    Resum:
    With the aim of increasing benefits and decreasing harms, risk-based breast cancer screening has been proposed as an alternative to age-based screening. This study explores barriers and facilitators to implementing a risk-based breast cancer screening program from the perspective of health professionals, in the context of a National Health Service.Socio-constructivist qualitative research carried out in Catalonia (Spain), in the year 2019. Four discussion groups were conducted, with a total of 29 health professionals from primary care, breast cancer screening programs, hospital breast units, epidemiology units, and clinical specialties. A descriptive-interpretive thematic analysis was performed.Identified barriers included resistance to reducing the number of screening exams for low-risk women; resistance to change for health professionals; difficulties in risk communication; lack of conclusive evidence of the benefits of risk-based screening; limited economic resources; and organizational transformation. Facilitators include benefits of risk-based strategies for high and low-risk women; women's active role in their health care; proximity of women and primary care professionals; experience of health professionals in other screening programs; and greater efficiency of a risk-based screening program. Organizational and administrative changes in the health system, commitment by policy makers, training of health professionals, and educational interventions addressed to the general population will be required.Despite the expressed difficulties, participants supported the implementation of risk-based screening. They highlighted its benefits, especially for women at high risk of breast cancer and those under 50 years of age, and assumed a greater efficiency of the risk-based program compared to the aged-based one. Future studies should assess the efficiency and feasibility of risk-based breast cancer screening for its transfer to clinical practice.
  • Altres:

    Enllaç font original: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0263788
    Referència de l'ítem segons les normes APA: Laza-Vásquez, C; Codern-Bové, N; Cardona-Cardona, A; Hernández-Leal, MJ; Pérez-Lacasta, MJ; Carles-Lavila, M; Rué, M (2022). Views of health professionals on risk-based breast cancer screening and its implementation in the Spanish National Health System: A qualitative discussion group study. PLOS ONE, 17(2), e0263788-e0263788. DOI: 10.1371/journal.pone.0263788
    Referència a l'article segons font original: PLOS ONE. 17 (2): e0263788-e0263788
    DOI de l'article: 10.1371/journal.pone.0263788
    Any de publicació de la revista: 2022-02-04
    Entitat: Universitat Rovira i Virgili
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Data d'alta del registre: 2026-05-09
    Autor/s de la URV: Carles Lavila, Misericòrdia / Hernández Leal, María José / Pérez Lacasta, Maria José
    Departament: Economia
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Tipus de publicació: Journal Publications
    Autor segons l'article: Laza-Vásquez, C; Codern-Bové, N; Cardona-Cardona, A; Hernández-Leal, MJ; Pérez-Lacasta, MJ; Carles-Lavila, M; Rué, M
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Àrees temàtiques: Sociology, Psychology, Multidisciplinary sciences, Multidisciplinary, Medicine (miscellaneous), Interdisciplinary research in the social sciences, Human geography and urban studies, History & philosophy of science, General medicine, General biochemistry,genetics and molecular biology, General agricultural and biological sciences, Environmental studies, Demography, Ciencias sociales, Ciencias humanas, Biology, Biodiversidade, Biochemistry, genetics and molecular biology (miscellaneous), Archaeology, Anthropology, Agricultural and biological sciences (miscellaneous), Administração, ciências contábeis e turismo, Administração pública e de empresas, ciências contábeis e turismo
    Adreça de correu electrònic de l'autor: mariajose.hernandezl@estudiants.urv.cat, mariajose.hernandezl@estudiants.urv.cat, mariajose.perez@urv.cat, mariajose.perez@urv.cat, misericordia.carles@urv.cat, misericordia.carles@urv.cat
  • Paraules clau:

    State medicine
    Spain
    Risk assessment
    Risk
    Qualitative research
    Patient acceptance of health care
    Middle aged
    Mass screening
    Humans
    Health services accessibility
    Health personnel
    Focus groups
    Female
    Early detection of cancer
    Decision-making
    Decision support techniques
    Breast neoplasms
    Attitude of health personnel
    Aged
    Adult
    women
    strategies
    rigor
    model
    communication
    Agricultural and Biological Sciences (Miscellaneous)
    Biochemistry
    Genetics and Molecular Biology (Miscellaneous)
    Biology
    Medicine (Miscellaneous)
    Multidisciplinary
    Multidisciplinary Sciences
    Sociology
    Psychology
    Interdisciplinary research in the social sciences
    Human geography and urban studies
    History & philosophy of science
    General medicine
    General biochemistry
    genetics and molecular biology
    General agricultural and biological sciences
    Environmental studies
    Demography
    Ciencias sociales
    Ciencias humanas
    Biodiversidade
    Archaeology
    Anthropology
    Administração
    ciências contábeis e turismo
    Administração pública e de empresas
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