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