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
barriers for implementation, risk communication, 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.