DECIDO-professionals-barriers-facilitators

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 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. 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 ba...本研究从西班牙医疗卫生专业人员的视角，探讨了基于风险评估的乳腺癌筛查项目（risk-based breast cancer screening program）实施过程中的阻碍因素与促进因素。本研究设计了一项针对220名西班牙医疗卫生专业人员的横断面研究（cross-sectional study）。研究数据于2020年通过网络问卷调查（web-based survey）收集，内容涵盖该筛查方式的优缺点，以及该项目实施过程中的阻碍与促进因素。分析采用描述性统计（descriptive statistics）方法，并将李克特（Likert）量表应答数据作为类别有序数据（category-ordered data）进行处理。研究显示，基于风险评估的筛查方式对于降低乳腺癌死亡率、提升女性在乳腺癌预防中的主动参与度、扩大50岁以下女性的筛查覆盖率、推广针对高危女性的乳腺癌预防策略，以及提升筛查效率与效果均具有重要或极其重要的意义。85%的参与者认为，从基于年龄的筛查项目转向基于风险评估的筛查项目具有重要或极其重要的价值。