Barriers to Implementation of Breast Cancer Risk Assessment: The Health Care Team Perspective

被引:7
|
作者
Spalluto, Lucy B. [1 ,2 ,3 ,4 ,5 ]
Bonnet, Kemberlee [6 ]
Sonubi, Chiamaka [7 ]
Ernst., Laura L. [8 ]
Wahab., Rifat [9 ]
Reid, Sonya A. [3 ,10 ]
Agrawal, Pooja. [11 ]
Gregory, Kris [12 ]
Davis, Katie M. [13 ]
Lewis, Jennifer A. [3 ,10 ,14 ]
Berardi, Elizabeth [15 ]
Hartsfield, Crissy [16 ]
Selove, Rebecca [3 ,17 ]
Sanderson, Maureen [3 ,18 ]
Schlundt, David [6 ]
Audet, Carolyn M. [19 ,20 ,21 ]
机构
[1] Vanderbilt Univ, Med Ctr, Hlth Equ, Dept Radiol, Nashville, TN USA
[2] Vanderbilt Univ, Med Ctr, Divers & Inclus, Dept Radiol, Nashville, TN USA
[3] Vanderbilt Ingram Canc Ctr, Nashville, TN USA
[4] Vet Hlth Adm Tennessee Valley Hlth Care Syst, Geriatr Res Educ & Clin Ctr GRECC, Nashville, TN USA
[5] Hlth Equ Committee, Nashville, TN USA
[6] Vanderbilt Univ, Dept Psychol, Nashville, TN USA
[7] Emory Univ, Dept Rehabil Med, Sch Med, Atlanta, GA USA
[8] Vanderbilt Univ, Sch Med, Nashville, TN USA
[9] Univ Cincinnati, Dept Radiol, Cincinnati, OH USA
[10] Vanderbilt Univ, Div Hematol & Oncol, Med Ctr, Nashville, TN USA
[11] Univ Texas Med Branch, John Sealy Sch Med, Galveston, TX USA
[12] Univ Arizona, R Ken Coit Coll Pharm, Tucson, AZ USA
[13] Vanderbilt Univ, Med Ctr, Dept Radiol, Breast Imaging, Nashville, TN USA
[14] Vet Hlth Adm Tennessee Valley Hlth Care Syst, Clin Lung Screening Program, Geriatr Res Educ & Clin Ctr GRECC, Nashville, TN USA
[15] Tennessee Dept Hlth, Tennessee Breast & Cerv Screening Program, Nashville, TN USA
[16] Tennessee Dept Hlth, Div Family Hlth & Wellness, Nashville, TN USA
[17] Tennessee Dept Hlth, Ctr Prevent Res, Nashville, TN USA
[18] Meharry Med Coll, Dept Family & Community Med, Nashville, TN USA
[19] Vanderbilt Univ, Dept Hlth Policy, Med Ctr, Nashville, TN USA
[20] Vanderbilt Ctr Clin Qual & Implementat Res, Nashville, TN USA
[21] Vanderbilt Inst Global Hlth, Res, Nashville, TN USA
关键词
Breast cancer; implementation science; mammography; risk assessment; HIGH FAMILIAL RISK; MAMMOGRAPHY; WOMEN; DISPARITIES; PREVENTION; MORTALITY; MODEL;
D O I
10.1016/j.jacr.2022.12.019
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To assess health care professionals' perceptions of barriers to the utilization of breast cancer risk assessment tools in the public health setting through a series of one-on-one interviews with health care team members.Methods: We conducted a cross-sectional qualitative study consisting of one-on-one semistructured telephone interviews with health care team members in the public health setting in the state of Tennessee between May 2020 and October 2020. An iterative inductive-deductive approach was used for qualitative analysis of interview data, resulting in the development of a conceptual framework to depict influences of provider behavior in the utilization of breast cancer risk assessment.Results: A total of 24 interviews were completed, and a framework of influences of provider behavior in the utilization of breast cancer risk assessment was developed. Participants identified barriers to the utilization of breast cancer risk assessment (knowledge and un-derstanding of risk assessment tools, workflow challenges, and availability of personnel); patient-level barriers as perceived by health care team members (psychological, economic, educational, and environmental); and strategies to increase the utilization of breast cancer risk assessment at the provider level (leadership buy-in, training, supportive policies, and incentives) and patient level (improved commu-nication and better understanding of patients' perceived cancer risk and severity of cancer).Conclusions: Understanding barriers to implementation of breast cancer risk assessment and strategies to overcome these barriers as perceived by health care team members offers an opportunity to improve implementation of risk assessment and to identify a racially, geographically, and socioeconomically diverse population of young women at high risk for breast cancer.
引用
收藏
页码:342 / 351
页数:10
相关论文
共 50 条
  • [21] Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review
    Chan, Grace
    Bergelson, Ilana
    Smith, Emily R.
    Skotnes, Tobi
    Wall, Stephen
    HEALTH POLICY AND PLANNING, 2017, 32 (10) : 1466 - 1475
  • [22] Barriers to breast cancer risk screening
    Zwaagstra, A.
    Hoskins, K.
    JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (18)
  • [23] Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals
    de Arajo Ferreira, Simone Mara
    Gozzo, Thais de Oliveira
    Panobianco, Marislei Sanches
    dos Santos, Manoel Antonio
    de Almeida, Ana Maria
    REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2015, 23 (01): : 82 - 89
  • [24] Beyond Universal Health Care: Barriers to Breast Cancer Screening Participation in Canada
    Zha, Nanxi
    Alabousi, Mostafa
    Patel, Bhavika K.
    Patlas, Michael N.
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2019, 16 (04) : 570 - 579
  • [25] Health care service barriers to breast cancer screening among Egyptian females
    El-Mansy, H. M. E.
    Ismail, H. M.
    Kharboush, I. F.
    Tawfik, M. M.
    El Sharkawy, O. G.
    Mamdouh, H.
    Sallam, H.
    JOURNAL OF CLINICAL ONCOLOGY, 2011, 29 (15)
  • [26] The patient needs assessment in cancer care: identifying barriers and facilitators to implementation in the UK and Canada
    Susan Williamson
    Thomas F. Hack
    Munirah Bangee
    Valerio Benedetto
    Kinta Beaver
    Supportive Care in Cancer, 2021, 29 : 805 - 812
  • [27] The patient needs assessment in cancer care: identifying barriers and facilitators to implementation in the UK and Canada
    Williamson, Susan
    Hack, Thomas F.
    Bangee, Munirah
    Benedetto, Valerio
    Beaver, Kinta
    SUPPORTIVE CARE IN CANCER, 2021, 29 (02) : 805 - 812
  • [28] The holistic needs assessment in cancer care: identifying barriers and facilitators to implementation in the UK and Canada
    Williamson, Susan
    Hack, Tom
    Bangee, Munirah
    Benedetto, Valerio
    Beaver, Kinta
    PSYCHO-ONCOLOGY, 2018, 27 : 3 - 3
  • [29] Barriers and Facilitators to Delivering Multifactorial Risk Assessment and Communication for Personalized Breast Cancer Screening: A Qualitative Study Exploring Implementation in Canada
    Walker, Meghan J.
    Neely, Anna
    Antoniou, Antonis C.
    Broeders, Mireille J. M.
    Brooks, Jennifer D.
    Carver, Tim
    Chiquette, Jocelyne
    Easton, Douglas F.
    Eisen, Andrea
    Eloy, Laurence
    Evans, D. Gareth R.
    Fienberg, Samantha
    Joly, Yann
    Kim, Raymond H.
    Knoppers, Bartha M.
    Lofters, Aisha K.
    Nabi, Hermann
    Pashayan, Nora
    Stockley, Tracy L.
    Dorval, Michel
    Simard, Jacques
    Chiarelli, Anna M.
    CURRENT ONCOLOGY, 2025, 32 (03)
  • [30] Genetic Assessment of Breast Cancer Risk in Primary Care Practice
    Burke, Wylie
    Culver, Julie
    Pinsky, Linda
    Hall, Sarah
    Reynolds, Susan E.
    Yasui, Yutaka
    Press, Nancy
    AMERICAN JOURNAL OF MEDICAL GENETICS PART A, 2009, 149A (03) : 349 - 356