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The Relationship between Healthcare Providers and Preventive Practices: Narratives on Access to Cancer Screening

Author

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  • Daniela Lemmo

    (Department of Humanities, Federico II University, 80133 Naples, Italy)

  • Maria Luisa Martino

    (Department of Humanities, Federico II University, 80133 Naples, Italy)

  • Anna Rosa Donizzetti

    (Department of Humanities, Federico II University, 80133 Naples, Italy)

  • Maria Francesca Freda

    (Department of Humanities, Federico II University, 80133 Naples, Italy)

  • Daniela Caso

    (Department of Humanities, Federico II University, 80133 Naples, Italy)

Abstract

Cancer screening programs are public health interventions beneficial to early diagnoses and timely treatments. Despite the investment of health policies in this area, many people in the recommended age groups do not participate. While the literature is mainly focused on obstacles and factors enabling access to health services, a gap from the point of view of the target population concerns healthcare providers. Within the “Miriade” research–action project, this study aims to explore the dimensions that mediate the relationship between healthcare providers and preventive practices through the narrations of 52 referents and healthcare providers involved in breast, cervical and colorectal cancer screening. We conducted ad hoc narrative interviews and used theory-driven analysis based on Penchansky and Thomas’ conceptualization and Saurman’s integration of six dimensions of healthcare access: affordability, availability, accessibility, accommodation, acceptability and awareness. The results show that 21 thematic categories were representative of the access dimensions, and 5 thematic categories were not; thus, we have classified the latter as the dimension of affection. The results suggest trajectories through which psychological clinical intervention might be constructed concerning health, shared health decisions and access to cancer screening.

Suggested Citation

  • Daniela Lemmo & Maria Luisa Martino & Anna Rosa Donizzetti & Maria Francesca Freda & Daniela Caso, 2022. "The Relationship between Healthcare Providers and Preventive Practices: Narratives on Access to Cancer Screening," IJERPH, MDPI, vol. 19(17), pages 1-18, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10942-:d:904617
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