Andrzejczak A, Rucińska M, Żarłok E, Osowiecka K
Fundacja Onkologia 2025, Al. gen. Sikorskiego 9B lok 12D, Warszawa, Poland.
Department of Oncology, Collegium Medicum University of Warmia and Mazury in Olsztyn, Wojska Polskiego 37, 10-228 Olsztyn, Poland.
Prev Med Rep. 2023 Sep 26;36:102442. doi: 10.1016/j.pmedr.2023.102442. eCollection 2023 Dec.
The level of participation in cancer screening is low in the Polish population. The aim of this study was to assess the opinions of centers providing cancer screening as to the reasons for the low frequency of cancer screening in Poland and possible methods to increase participation. In July 2020 433 centers in Poland carried out breast and/or cervical cancer screening. Of these, 136 centers decided to participate in the study. The study was conducted using an original questionnaire. The questions were addressed to opinion of centers about: reasons for the low frequency of cancer screening in Poland, methods to increase the frequency of cancer screening, pricing and motivating factors for providing cancer screening. Among opinions as to possible reasons for the low frequency of cancer screening in Poland related to the care-system, lack of encouragement from general practitioners, lack of invitations for cancer screening and lack of proper social advertising were most prevalent; whereas among reasons related to patients, a low awareness of cancer screening and fear of cancer diagnosis. The main methods that could potentially increase screening participation are considered to be the inclusion of cancer screening in mandatory periodic employee examinations, more activity by general practitioners, better promotion of screening by central institutions, and sending personal invitations. In conclude some interventions should be carried out to motivate people to break down barriers.
波兰人群中癌症筛查的参与率较低。本研究的目的是评估提供癌症筛查的中心对于波兰癌症筛查频率低的原因以及提高参与率的可能方法的看法。2020年7月，波兰有433个中心开展了乳腺癌和/或宫颈癌筛查。其中，136个中心决定参与该研究。该研究使用了一份原创问卷。问题涉及各中心对以下方面的看法：波兰癌症筛查频率低的原因、提高癌症筛查频率的方法、癌症筛查的定价以及提供癌症筛查的激励因素。在关于波兰癌症筛查频率低的可能原因的看法中，与医疗系统相关的因素，如全科医生缺乏鼓励、缺乏癌症筛查邀请以及缺乏适当的社会宣传最为普遍；而在与患者相关的原因中，癌症筛查意识低和害怕癌症诊断较为突出。可能提高筛查参与率的主要方法被认为包括将癌症筛查纳入强制性定期员工体检、全科医生增加活动、中央机构更好地推广筛查以及发送个人邀请。总之，应该采取一些干预措施来激励人们打破障碍。
