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The needs and expectations of people eligible for lung cancer screening in Switzerland: A mixed method study
Mélinée Schindler1, Cynthia Schneider2, Christophe von Garnier3
1University Center for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, Route de la Corniche 10, 1010 Lausanne, Switzerland.
Objective:
Organized lung cancer screening is being considered in Switzerland. This study assesses knowledge, barriers, and expectations regarding screening among the population and healthcare professionals prior to a pilot project.
Methods:
A convergent, mixed method approach combined an online survey, focus groups and interviews with laypeople aged 50-79 years with a smoking history and healthcare professionals. Data were collected between June and August 2023 in the Canton of Vaud, Switzerland.
Results:
Among 952 survey respondents (79% women, 60% current or ex-smokers), 19% were aware of lung cancer screening, but 75% would participate if offered.Responders preferred information from general practitioners (72%) or official letters (46%). In qualitative interviews, the 24 participants emphasized clear, non-stigmatizing, emotionally engaging communication, accessible logistics, and supportive professional guidance. Eligibility criteria were often viewed as too restrictive.
Conclusions:
The implementation of lung cancer screening in Switzerland will require a multichannel communication campaign, training and tools for healthcare professionals, and clear eligibility criteria using a pedagogical approach.
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