|
Barriers: Resistance to change
|
| The barriers are that a woman believes that a mammogram should be done every two years, or her private gynecologist has recommended she have a mammogram, and what she does is either go to the private gynecologist or the screening program. This woman, no matter how much you tell her it should be every three years because her risk is low […] (DG2P3) |
|
Barriers: Rejecting the personalized screening recommendations
|
| But, on the other hand, those who are used to biennial screening from the age of 50 onwards are now being told "well no, since your risk is low, in your case it will be every three years". How will this woman accept this? (DG1P4) |
| A barrier: to be told "you have to have a mammogram every three years" and then the GP tells you "if you who have private insurance, do it at the clinic" (DG2P5) |
|
Facilitator: benefits of a risk-based program for young women
|
| […] But there is increasing demand from young women. They don’t know if they are at risk or not, if there is a family history then obviously look, look to the private system or primary care or whatever. (DG1P2) |
| I think it is good that a part of the population that now is not covered, ages 40 to 49, will have one mammogram every three or two or one years. I think that’s a facilitator (DG4P5) |
|
Facilitator: proximity and trusting relationships with women
|
| […] Fortunately women have a good relationship with nurses and doctors, especially primary care or specialists and women kind of do what they tell them to do, right? […] (DG1P6) |
| Yes, yes, that would be a facilitator, every primary care doctor has their patients and can inform them about this program. (DG2P1) |
|
Facilitator: growing interest and proactivity of women in their health care
|
| And I think that women, who are already very proactive towards their health, if this decision can be made in an informed way, deciding for or deciding against, we will make the whole system more efficient. (DG3P1) |
| […] And women have become empowered in breast cancer screening, in prevention because we know that if we detect it, we have better survival. And there are women in their 40s who come to ask us … This is why screening is so successful too. (DG1P3) |
|
Facilitator: intensive media attention to breast cancer
|
| Breast cancer now has become visible, on a social level, on a communication level, there is a lot of talk, a lot of famous people have said they have breast cancer, breast cancer is no longer a taboo […](DG1P3) |
