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The Role of Effective Communication to Enhance Participation in Screening Mammography: A New Zealand Case

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  • Margaret A. Brunton

    (Department of Management & International Business, Massey University, Private Bag 102 904, North Shore Mail Centre, Auckland, 1311, New Zealand)

Abstract

Changes in the organisation of health care have dominated policy initiatives over the past two decades in many countries. An increasing reliance on public health initiatives to prevent or detect disease early has resulted in an increase in programs that screen for cancer in the community. In turn, this accentuates the need to persuasively communicate the value of such initiatives to encourage continued participation. Merely placing screening programs into a community setting is not sufficient to ensure that adequate numbers will voluntarily participate regularly to achieve anticipated cost and mortality savings in the population. In this research the influence of managing communication in a public screening mammography program was investigated. The results revealed that significant opportunities were overlooked for reassurance and information during the physical mammography process. In turn, this highlights the influence of constraints imposed by the structure of the screening program and the resources allocated to the process. This research suggests that it is important to address multiple influences, including ethnic differences, when asking questions about the effectiveness of public health policy, particularly when considering the choices women make about ongoing participation in breast screening programs.

Suggested Citation

  • Margaret A. Brunton, 2009. "The Role of Effective Communication to Enhance Participation in Screening Mammography: A New Zealand Case," IJERPH, MDPI, vol. 6(2), pages 1-18, February.
    • Handle: RePEc:gam:jijerp:v:6:y:2009:i:2:p:844-861:d:4091
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    References listed on IDEAS

    as
    1. Jeffreys, M. & Stevanovic, V. & Tobias, M. & Lewis, C. & Ellison-Loschmann, L. & Pearce, N. & Blakely, T., 2005. "Ethnic inequalities in cancer survival in New Zealand: Linkage study," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 834-837.
    2. Ian Thynne, 2003. "Making sense of public management reform," Public Management Review, Taylor & Francis Journals, vol. 5(3), pages 449-459, September.
    3. Pollitt, Christopher & Bouckaert, Geert, 2004. "Public Management Reform: A Comparative Analysis," OUP Catalogue, Oxford University Press, edition 2, number 9780199268498.
    4. Skinner, C.S. & Strecher, V.J. & Hospers, H., 1994. "Physicians' recommendations for mammography: Do tailored messages make a difference?," American Journal of Public Health, American Public Health Association, vol. 84(1), pages 43-49.
    5. Selvin, E. & Brett, K.M., 2003. "Breast and cervical cancer screening: Sociodemographic predictors among White, Black, and Hispanic women," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 618-623.
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    Cited by:

    1. Agata Ciuba & Katarzyna Wnuk & Aneta Nitsch-Osuch & Marta Kulpa, 2022. "Health Care Accessibility and Breast Cancer Mortality in Europe," IJERPH, MDPI, vol. 19(20), pages 1-12, October.

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