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

Health Policy
Eleanor TurnbullMartin McKee

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 ...Continue Reading

Citations

Sep 14, 2019·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Andrzej NowakowskiJan Walewski
Nov 24, 2019·Gastroenterology·Michael F KaminskiDouglas K Rex
Jun 1, 2021·Journal of the Canadian Association of Gastroenterology·Lawrence F PaszatLinda Rabeneck
Aug 28, 2021·International Journal of Environmental Research and Public Health·Thuy Ngan TranSarah Hoeck

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