Satisfaction with the breast cancer screening program in Barcelona: a comparison between 2006 and 2016
e202101022
Keywords:
Breast cancer screening, Satisfaction, Health promotionAbstract
Background: Satisfaction represents the subjective experience derived from the fulfillment or non-fulfillment of the expectations that the subject has regarding assistance. The debate generated by the screening programs requires studying satisfaction as one more element in the evaluation. In 2006, a study was carried out in Barcelona on the satisfaction and expectations generated around screening. Ten years later another was carried out in order to study evolution during this time. The objective of the current study is to investigate the satisfaction with the Breast Cancer Screening Program (BCSP) in Barcelona and to compare with the results obtained in a previous study carried out 10 years ago.
Methods: This was a cross-sectional study, whose study population was women participating in the BCSM. We conducted random sampling. The questionnaire asked for opinion about the informative materials and the information sessions, their level of participation (regular or irregular) and their overall satisfaction with the program. Women who had been referred for further examinations were asked specific questions about their satisfaction with the follow-up process. We conducted a descriptive analysis and compare the results to those obtained in the 2006 survey. We assessed the correlation between satisfaction and importance using the Pearson’s correlation coefficient, and we also performed logistic regression analyses. All statistical analyses were conducted using SPSS.
Results: Participants were generally satisfied with the program, the professionalism and treatment received from the medical professionals. There was a significant positive correlation with the importance given to each of these dimensions. Women who stated that they did not feel nervous while waiting for the results of the mammography reported that they felt very satisfied with the information received [OR=1.86 (95% CI 1.03-3.36)] and with the equipment used [OR=1.97 (1.02-3.85)]. Non-working women were more satisfied with the information obtained [OR=1.86 (CI 1.06-2.9)]. Most of the results showed improvement with respect to those of the 2006 survey.
Conclusions: It’s necessary to continue working towards providing the best possible information, and paying special attention to the most vulnerable groups.
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References
World Cancer Report 2014. International Agency for Research on Cancer. World Health Organization. Ed. Bernard W. Stewart and Christopher P. Wild. Lyon 2014. ISBN 978-92-832-0443-5.
Coleman M, Quaresma M, Berrino F, Lutz JM, De Angelis R, Capocaccia R, Baili P, Rachet B, Gatta G, Hakulinen T, Micheli A, Sant M, Weir HK, Elwood JM, Tsukuma H, Koifman S, Azevedo e Silva G, Francisci S, Santaquilani M, Verdecchia A, Storm HH, Young JL and the CONCORD Working Group. Cancer Survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncology 2008; 9: 730-756.
International Agency for Research on Cancer. Breast cancer screening. In: IARC handbook of cancer prevention, vol. 15. Lyon: IARC; 2014. ISBN-13 (Print Book) 978-92-832-3015-1.
Ghoncheh M, Pournamdar Z, Salehiniya H. Incidence and Moratlity and Epidemiology of Breast Cancer in the World. APJCP 2016; 17: 43-46. DOI: http://dx.doi.org/10.7314/APJCP.2016.17.S3.43
Pons-Vigués M, Puigpinós-Riera R, Serral G, Pasarin MI, Rodríguez D, Pérez G, Benet J, Casamitjana M, Borrell C. Knowledge, attitude and perceptions of breast cáncer screening among native and immigrant women in Barcelona, Spain. Psycho-Oncology 2011. DOI: 10.1002/pon.1940
Paci E, Alexander FE. Study Design of Randomized Controlled Clinical Trial of Breast Cancer Screening. J Nat Cancer Ins 1997; monographs 22: 21-25.
Agència de Salut Pública de Barcelona. Butlletí Informatiu de l’Oficina Tècnica del Programa de Detecció Precoç de Cáncer de Mama a Barcelona. Barcelona Num 1. Agència de Salut Pública de Barcelona, 2005. www.aspb.cat/quefem/documents_cancer_mama.htm
Programa de Detecció Precoç del Cáncer de Mama a Barcelona. Document Marc 1994. Barcelona: Generalitat de Catalunya. Consorci Sanitari de Barcelona, 1994.
Agència de Salut Pública de Barcelona. Buitlletí Informatiu de l’Oficina Tècnica del Programa de Detecció Precoç de Càncer de Mama a Barcelona. Barcelona, Num 3: Agència de Salut Pública de Barcelona, 2006.
www.aspb.cat/quefem/documents_cancer_mama.htm
Gotzsche PC, Olsen O. Is screening for breast cancer with mammography justifiable? Lancet 2000; 355:129-34.
Borras JM, Espinas JA, Castells X. La evidencia del cribado del cáncer de mama: la historia continua. Gac Sanit 2003; 17(3): 249-55.
Castells X, Sala M, Salas D, Ascunze N, Zubizarreta R, Casamitjana M. Reflexiones sobre las prácticas de diagnóstico precoz del cáncer en España. Gac Sanit 2009; 23 (3): 244-249.
Keating NL, Pace LE. Breast Cancer Screening in 2018. Time for Shared Decision Making. JAMA 2018; 319 (17): 1814-1815.
World Health Organization. WHO position paper on mammography screening. Geneva: World Health Organizatio; 2014. http://www.who.int/cancer/publications/mammography_screening/en/
European Commission Initiative on Breast Cancer. Recommendations from the European Breast Cancer Guidelines. European Commission on Breast Cancer 2019. https://ecib.jdr.europa.eu/recomendations
Nelson R. Personalized Breast Cancer Screening: Realistic and Feasible? Medscape, 2019.
Deandrea S, Salakari M, Neamtiu L, Ulutürk A, Lerda D, Pylkkänen L. Validated tools measuring women’s satisfaction in breast cancer screening programmes: A systematic review. The Breast 2018; 39: 33-38. https://doi.org/10.1016/j.breast.2018.03.001
Rodríguez Pérez MP. Grande Armesto M. Calidad asistencial: Concepto, dimensiones y desarrollo operativo [Internet]. Madrid: Escuela Nacional de Sanidad; 2014.
Villodre R, Calero R, Gallarza MG. La satisfacción del cliente como indicador de calidad en neurorehabilitación. Cuadernos de estudios empresariales 2014; 24: 131-147. http://dx.doi.org/10.5209/rev_CESE.2014.v24.48614
Puigpinós-Riera R, Serral G, Pons-Vigués M, Palència L, Rodríguez-Sanz M, Borrell C. Evolution of Inequalities in Breast and Cervical Cancer Screening in Barcelona: Population Surveys 1992, 2001 and 2006. J Women´s Health 2011; 20 (11): 1721-1727. DOI: 10.1089/jwh.2010.2478
Serral-Cano G, Puigpinós-Riera R, Robles-Garrido I, Pons-Vigués M, Borrell C. Satisfacción y expectativas de las mujeres participantes y no participantes en el Programa de Detección Precoz de Cáncer de Mama de Barcelona tras 10 años de funcionamiento. Rev Esp Salud Pública 2010; 84: 717-729.
Massip Pérez C, Ortiz Reyes RM, Llantá Abreu MC, Peña Fortes M, Infante Ochoa I. La evaluación de la satisfacción en salud: un reto a la calidad. Rev Cubana Salud Pública [Internet]. 2008 Dic [citado 2019 Jun 18] ; 34(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662008000400013&lng=es.
Serral G, Puigpinós-Riera R, Maydana E, Pons-Vigués M, Borrell C. Percepción de los profesionales de salud sobre el Programa de Detección Precoz del Cáncer de Mama en Barcelona. Rev Calid Asist 2013; 28 (4): 244-253.
Programa de Detección Precoz del Cáncer de Mama. Encuesta de Satisfacción de Usuarias 2015. Eusko Jaurlaritza. Gobierno Vasco. Departamento de Salud, 2016.
Unim B, Boggi R, Napoli M, fulgenzi R, Landi A, La Torre G. Women’s satisfaction with mammography and predictors of participation in an organized breast cáncer screening program: Perspectives of a Local Health Unit in Rome. Public Health 2018; (155): 91-94.
Molina-Barceló A, Salas Trejo D, Miranda García J. Satisfacción de las mujeres con la duración del proceso de valoración adicional en el cribado mamográfico. Gac Sanit 2011; 25(5): 357-362.
Saladié F, Poblet C, Sirgo A, Galceran J. The Breast Journal 2008; 14 (3): 315-316.
Ah Han M, Kwan Jun J, Son Choi K, Park E.C, Lee HY. Satisfaction in the National Screening Program for Breast Cancer with and without Clinical Breast Examination. Asian Pacific J of Cancer Prev 2012; 13: 63-67. DOI:
http//www.dx.doi.org/10.7314/APJCP.2012.13.1.063
Gabel P, Bach Larsen M, Bjørnholt Nielsen P, Brand Svendstrup D, Andersen B. Satisfaction, discomfort, obligations and concerns in population-based breast cancer screening: cross-sectional study in a Danish population. Health Services Research 2017; 17: 489 DOI: 10.1186/s12913-017-2438-2
Pons-Vigués M, Puigpinós-Riera R, Rodríguez D, Fernández de Sanmamed MJ, Pasarín MI, Pérez G, Borrell C, Casamitjana M, Benet J. Country of origin and prevention of breast cáncer: Beliefs, Knowledge and Barriers. Health & Place 2012; 18: 1270-1281.
Hermann EA, Ashburner JM, Atlas SJ, Chang Y, Percac-Lima S. Satisfaction With Health Care Among Patients Navigated for Preventive Cancer Screening. J Patient Experience 2018; 5 (3): 225-230.
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