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Results of a health systems approach to identify barriers to population-based cervical and colorectal cancer screening programmes in six European countries

Author

Listed:
  • Turnbull, Eleanor
  • Priaulx, Jennifer
  • de Kok, Inge M.C.M.
  • Lansdorp-Vogelaar, Iris
  • Anttila, Ahti
  • Sarkeala, Tytti
  • Senore, Carlo
  • Segnan, Nereo
  • Csanádi, Marcell
  • Pitter, János
  • Novak Mlakar, Dominika
  • Ivanus, Urska
  • Veerus, Piret
  • de Koning, Harry J.
  • McKee, Martin

Abstract

The aim of this study was to identify barriers to effective cervical and colorectal cancers screening programmes in Europe. The Barriers to Effective Screening Tool (BEST), based on a health systems approach, was completed by teams of three to six experts on cancer screening in each of the six countries involved in leading the EU-TOPIA project (TOwards imProved screening for breast, cervical and colorectal cancer In All of Europe). While the basic components of screening systems and the challenges they face, such as low participation, are similar, there are also many differences, both in the structures underpinning particular functions, such as maintenance of populationregisters and monitoring outcomes, and the ways that they operate. Many of these lie outside the strict organisational boundaries of screening programmes. BEST offers a means to identify and prioritise issues for further detailed exploration. The holistic health systems approach to assessing barriers differs from previous approaches. Those focus on individual characteristics that determine participation. The approach described here provides additional opportunities to improve outcomes with measures that are largely within the control of those managing the health system.

Suggested Citation

  • Turnbull, Eleanor & Priaulx, Jennifer & de Kok, Inge M.C.M. & Lansdorp-Vogelaar, Iris & Anttila, Ahti & Sarkeala, Tytti & Senore, Carlo & Segnan, Nereo & Csanádi, Marcell & Pitter, János & Novak Mlaka, 2018. "Results of a health systems approach to identify barriers to population-based cervical and colorectal cancer screening programmes in six European countries," Health Policy, Elsevier, vol. 122(11), pages 1206-1211.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:11:p:1206-1211
    DOI: 10.1016/j.healthpol.2018.08.005
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    Cited by:

    1. Thuy Ngan Tran & Guido Van Hal & Marc Peeters & Svetlana Jidkova & Harlinde De Schutter & Sarah Hoeck, 2021. "Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening: An Important Step towards Improving Coverage," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    2. Jennifer Priaulx & Marcell Csanádi & Harry J. de Koning & Martin McKee, 2019. "A choice experiment to identify the most important elements of a successful cancer screening program according to those who research and manage such programs," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 34-45, January.

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