Department of Humanities, Federico II University, 80133 Naples, Italy.
Int J Environ Res Public Health. 2022 Sep 1;19(17):10942. doi: 10.3390/ijerph191710942.
Cancer screening programs are public health interventions beneficial to early diagnoses and timely treatments. Despite the investment of health policies in this area, many people in the recommended age groups do not participate. While the literature is mainly focused on obstacles and factors enabling access to health services, a gap from the point of view of the target population concerns healthcare providers. Within the "Miriade" research-action project, this study aims to explore the dimensions that mediate the relationship between healthcare providers and preventive practices through the narrations of 52 referents and healthcare providers involved in breast, cervical and colorectal cancer screening. We conducted ad hoc narrative interviews and used theory-driven analysis based on Penchansky and Thomas' conceptualization and Saurman's integration of six dimensions of healthcare access: affordability, availability, accessibility, accommodation, acceptability and awareness. The results show that 21 thematic categories were representative of the access dimensions, and 5 thematic categories were not; thus, we have classified the latter as the dimension of affection. The results suggest trajectories through which psychological clinical intervention might be constructed concerning health, shared health decisions and access to cancer screening.
癌症筛查计划是有益于早期诊断和及时治疗的公共卫生干预措施。尽管卫生政策在这一领域进行了投资，但许多处于推荐年龄组的人并未参与。尽管文献主要侧重于获得卫生服务的障碍和因素，但从目标人群的角度来看，存在一个空白，涉及医疗保健提供者。在“Miriade”研究-行动项目中，本研究旨在通过对 52 名参与乳腺癌、宫颈癌和结直肠癌筛查的参照者和医疗保健提供者的叙述，探讨调节医疗保健提供者与预防实践之间关系的维度。我们进行了专题叙事访谈，并使用基于彭昌斯基和托马斯的概念化以及索尔曼对医疗保健获取的六个维度（可负担性、可获得性、可及性、适应性、可接受性和意识）的理论驱动分析。结果表明，有 21 个主题类别代表了可及性维度，有 5 个主题类别不代表；因此，我们将后者归类为情感维度。结果表明，通过心理临床干预可能会构建有关健康、共同健康决策和获得癌症筛查的轨迹。
