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Table 3 Barriers and needs surrounding population screening for colorectal cancer as perceived by primary care professionals*

From: Knowledge and attitudes of primary health care physicians and nurses with regard to population screening for colorectal cancer in Balearic Islands and Barcelona

Questions Total
(%)
Physicians
(%)
Nurses
(%)
¿What obstacles do you think we would encounter in trying to get your clients to participate?    
Fear of having to undergo a colonoscopy 71.1 73.3 68.6
Lack of knowledge about colorectal cancer 66.7 59.3 74.4
Fear of having a colorectal cancer found 60.2 60.1 60.3
The complicated nature of the procedure 41.9 49.3 33.7
Dislike or repulsion at having to handle stools 22.6 26.3 18.6
Perceiving no benefit 17.1 17.6 16.5
Lack of trust in the public health system 6.2 6.4 5.9
¿What would make you reluctant to encourage your clients to participate?    
Colonoscopy is an invasive procedure 60.9 56.4 65.8
The anxiety generated by false positive results 45.9 43.5 48.6
The fact that clients are fed up with screening tests 33.5 34.4 32.5
The false sense of security from false negative results 29.5 35.8 22.6
¿What are the main barriers to getting PHC professionals to support the screening program?    
Lack of time 88.9 93.6 83.9
Professional burnout 62.5 70.0 54.0
Difficulty in explaining this information to him/her 34.2 38.3 29.7
Lack of knowledge about screening programmes 33.9 26.3 42.2
Participation in other screening programmes 26.3 23.0 29.9
Lack of knowledge about colorectal cancer 24.8 15.4 35.0
Being disinterested in the matter 18.3 16.4 20.3
¿What do you think professionals should be offered to ensure their support?    
Training on colorectal cancer and screening 94.4 92.4 96.5
Detailed information about the programme 93.7 92.8 94.8
More time with each patient during patient visits 93.4 95.1 91.7
Regular feedback about the results 92.9 93.8 91.8
Collaboration in writing papers 74.1 76.6 71.4
Economic compensation 43.8 37.1 51.1
Nothing, since it is part of their work 22.0 23.0 20.9
  1. *professionals who agree with each statement versus those who disagree + don't know