Gac Aleksandra, Kędzior Katarzyna Joanna, Pogorzelczyk Katarzyna, Wojtecka Agnieszka, Wojnarowska Małgorzata, Robakowska Marlena, Kalinowska-Beszczyńska Olga, Libura Maria, Kolasa Katarzyna, Włodarczyk Włodzimierz Cezary, Dziurda Dominik, Topór-Mądry Roman, Balwicki Łukasz
Department of Public Health and Social Medicine, Medical University of Gdansk, 80-210 Gdansk, Poland.
Agency for Health Technology Assessment and Tariff System, 00-032 Warsaw, Poland.
Healthcare (Basel). 2023 Jan 28;11(3):371. doi: 10.3390/healthcare11030371.
(1) Background: Colorectal cancer (CRC) is a serious health problem in Poland as well as many European Union countries. The study aimed to describe factors that, from the patient's perspective, could increase the attendance rate and regularity of participation in the colorectal cancer screening programme (SP); (2) Methods: The qualitative approach was applied. The study involved six focus interviews conducted with 24 respondents (12 women and 12 men) aged 40-49, who had at least one first-degree family member diagnosed with CRC and persons aged 50-65, living in five selected voivodships (provinces) of Poland. The collected data were thematically coded. Further, a comparative analysis was conducted, and aggregated statements were formulated; (3) Results: The inclusion of primary care clinics within the CRC SP organization was reported as a key factor in improving the attendance rate and regularity of patient participation in the programme. Particularly important factors included an invitation in the form of a personal letter or a phone call made by staff from primary care clinics; (4) Conclusions: Patients were confirmed to have clear expectations and preferences for the organizational conditions of the CRC SP. Preferences nature allows them to be treated as one of the potential criteria for selecting critical parameters of CRC SPs.
(1) 背景:在波兰以及许多欧盟国家,结直肠癌(CRC)都是一个严重的健康问题。本研究旨在描述从患者角度来看,可能会提高结直肠癌筛查项目(SP)参与率和参与规律性的因素;(2) 方法:采用定性研究方法。该研究对24名受访者(12名女性和12名男性)进行了6次焦点访谈,受访者年龄在40 - 49岁之间,他们至少有一位一级亲属被诊断患有结直肠癌,以及年龄在50 - 65岁之间,居住在波兰五个选定省份的人群。对收集到的数据进行主题编码。此外,进行了对比分析,并形成了汇总陈述;(3) 结果:将基层医疗诊所纳入结直肠癌筛查项目组织被报告为提高患者参与该项目的参与率和规律性的关键因素。特别重要的因素包括基层医疗诊所工作人员以个人信件或电话形式发出的邀请;(4) 结论:证实患者对结直肠癌筛查项目的组织条件有明确的期望和偏好。偏好的性质使其能够被视为选择结直肠癌筛查项目关键参数的潜在标准之一。