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Related Experiment Videos

Do general practitioners facilitate the breast screening programme?

F Kee1

  • 1Department of Public Health Medicine, Northern Health & Social Services Board, Ballymena, UK.

European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)
|April 1, 1992
PubMed
Summary
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Low mammography uptake persists in Northern Ireland. General practitioners (GPs) largely support screening, but inconsistent patient address verification and limited proactive patient outreach hinder breast cancer screening program effectiveness.

Area of Science:

  • Public Health
  • Oncology
  • General Practice

Background:

  • Breast cancer screening programs aim to reduce mortality, but mammography uptake has remained low in Northern Ireland.
  • General practitioners (GPs) play a crucial role in facilitating patient participation in screening programs.
  • Understanding GP perspectives and practices is essential for improving mammography uptake.

Purpose of the Study:

  • To assess participating general practitioners' (GPs) views on mammography and breast cancer screening.
  • To evaluate the extent to which GPs adhere to best practices in supporting the mammography screening program.
  • To identify barriers and facilitators influencing mammography uptake at the primary care level.

Main Methods:

  • A questionnaire survey was administered to general practitioners (GPs) in Northern Ireland.

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  • 152 out of 173 participating GPs returned the completed questionnaire.
  • The survey explored GPs' beliefs about the screening program's worth and their facilitation practices.

    • Main Results:

    • Approximately 75% of surveyed GPs believed the mammography screening program was worthwhile.
    • Less than half of GPs consistently verified patient addresses on notification lists.
    • While 55% counseled women during routine surgeries and 90% in clinics, only 56% recorded non-attendance, and less than 20% actively contacted non-attenders.

    Conclusions:

    • GP support for mammography screening is high, but practical implementation varies significantly.
    • Inconsistent address verification and limited proactive patient engagement by GPs are potential barriers to uptake.
    • The screening unit requires enhanced GP advocacy strategies, and Health Boards need effective appraisal methods for primary care health promotion.