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Toward a Population-Based Breast Cancer Risk Stratification Approach? The Needs and Concerns of Healthcare Providers
Jolyane Blouin-Bougie1, Nabil Amara1, Jacques Simard2,3
1Department of Management, Faculty of Business Administration, Laval University, Québec City, QC G1A 0A6, Canada.
Healthcare professionals support risk-based breast cancer (BC) screening for improved prevention. Key factors for successful implementation include equity, knowledge management, and workforce adaptation to ensure HP buy-in.
Area of Science:
- Oncology
- Public Health
- Healthcare Management
Background:
- Advancements in cancer genomics offer opportunities for personalized cancer prevention.
- Risk-based screening strategies are emerging as a promising approach for breast cancer (BC) early detection.
- Understanding healthcare professionals' (HPs) perspectives is crucial for implementing new screening protocols.
Purpose of the Study:
- To explore healthcare professionals' perceptions of implementing risk-based breast cancer screening.
- To identify essential tools and strategies for supporting HPs in this new approach.
- To determine factors influencing the acceptability and successful integration of BC risk stratification.
Main Methods:
- Conducted semi-structured interviews with healthcare professionals.
- Performed in-depth thematic content analysis of interview responses.
- Developed a logical model to structure findings regarding participants, activities, tools, acceptability, and expected effects.
Main Results:
- Respondents generally welcomed risk-based screening and recognized its potential benefits for women.
- Eleven key themes emerged, highlighting the need for clarification on specific implementation details.
- Three critical conditions for acceptability were identified: equity, robust knowledge management, and optimized human resource utilization.
Conclusions:
- Successful implementation of risk-based breast cancer screening requires careful planning and addressing outstanding issues to gain HP support.
- Ensuring equity, effective knowledge management, and strategic workforce adjustments are paramount for the adoption of BC risk stratification.
- Further definition of the operational framework for BC risk-based screening is necessary before widespread adoption.
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