Health system barriers and enablers to early access to breast cancer screening, detection, and diagnosis: a global analysis applied to the MENA region

Bowser, Diana; Marqusee, H.; Koussa, Maria El; Atun, Rifat

doi:10.1016/j.puhe.2017.07.020

Cited by 38 publications

(46 citation statements)

References 49 publications

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“…The studies presented strategies for implementing early detection guidelines in the most vulnerable populations, such as low-income, low-educated individuals in developed countries, Latinos, Asians, Native Americans, Alaskan natives, African Americans. Patients in low-and middle-income countries face structural barriers that are similar to those faced by deprived patients in developed countries [14][15][16][17][18][19][20][21][22] . *By inclusion criteria, no duplicate articles; **only systematic reviews; ***by criteria of interest, strategies to overcome barriers.…”

Section: Discussionmentioning

confidence: 99%

“…Strategies for implementing guidelines at the health organization level have the following determinants: inadequate internal communication, inadequate processes and inadequate leadership. Examples of actions to reduce structural barriers and direct costs to patients and to involve leaders and experts in breast cancer in primary care educational activities were explored [15][16][17][20][21][22] .…”

Section: Health Organizationsmentioning

confidence: 99%

“…The studies [15][16][17][20][21][22] evaluated interventions to facilitate the delivery of care services to the population. Interventions to reduce structural barriers and costs to the patient were addressed.…”

Section: Health Organizationsmentioning

confidence: 99%

“…Bowser et al 16 reported greater adherence to the guidelines when female health professionals were involved in clinical care and imaging. This gender-related barrier for health professionals was very relevant for assessing the applicability of interventions in the Middle East and North Africa region.…”

Section: Health Organizationsmentioning

confidence: 99%

“…The following are recommended for the training of health professionals: dissemination of educational materials; educational activities or visits to reference units for breast cancer diagnosis and treatment; dissemination of information about the severity of the problem, including relevant comparisons; presence of expert leaders; dissemination of information aimed to motivate health professionals to change their practices; financial or other incentives; reducing the burden of the changes in practices 16,17,19,21 .…”

Section: Health Professionalsmentioning

confidence: 99%

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Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Gioia¹,

Silva²

2019

Mastology

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Este projeto de pesquisa teve como objetivo geral identificar estratégias de implementação das diretrizes para a detecção precoce do câncer de mama no Brasil. Em relação aos objetivos específicos, propôs-se a identificar, na literatura especializada, estudos sobre as dificuldades e as estratégias de implementação das diretrizes para a detecção precoce do câncer de mama nos sistemas de saúde de diferentes países; a avaliar a aplicabilidade dos resultados encontrados no contexto brasileiro; e a recomendar ações prioritárias conforme as estratégias de implementação das diretrizes às organizações responsáveis por esses processos no âmbito da saúde pública. Foi realizada uma revisão de revisões sistemáticas utilizando as ferramentas supporting policy relevant reviews and trial (SUPPORT), para auxiliar na estruturação das buscas e na análise de dados. As bases de dados utilizadas foram PubMed/MEDLINE, Cochrane Library, Biblioteca Virtual em Saúde (BVS)/Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Embase de 1º de janeiro de 2008 a 1º de maio de 2018. O estudo de nove revisões sistemáticas selecionadas identificou ações exitosas em países desenvolvidos e em desenvolvimento. As estratégias identificadas foram: fomento de lideranças comprometidas com a implementação das diretrizes, melhor governança dos serviços de saúde próximos ao público-alvo, campanha nacional de divulgação em massa e programa de navegação de pacientes.PALAVRAS-CHAVE: detecção precoce de câncer; neoplasias da mama; políticas públicas de saúde. RESUMO ABSTRACTThis research project aimed to identify strategies for implementing guidelines for early detection of breast cancer in Brazil. Regarding the specific objectives, it aimed to identify studies in the specialized literature on the difficulties and strategies for implementing the guidelines for early detection of breast cancer in the health systems of different countries; to evaluate the applicability of the results found in the Brazilian context; and to recommend priority actions in accordance with the implementation strategies of the guidelines to the organizations responsible for these processes in the public health context. A review of systematic reviews was carried out using the supporting policy relevant reviews and trial (SUPPORT) tools to assist in structuring searches and analyzing data. The databases used were . The study of nine selected systematic reviews identified successful actions in developed and developing countries. The strategies identified were: promotion of leadership fronts committed to the implementation of the guidelines, better governance of health services close to the target audience, national mass dissemination campaign and patient navigation program.

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Section: Discussionmentioning

confidence: 99%

Section: Health Organizationsmentioning

confidence: 99%

Section: Health Organizationsmentioning

confidence: 99%

Section: Health Organizationsmentioning

confidence: 99%

Section: Health Professionalsmentioning

confidence: 99%

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Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Gioia¹,

Silva²

2019

Mastology

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Cultural Barriers to Breast Cancer Screening in Arab Women

Alatrash¹

2021

Handbook of Healthcare in the Arab World

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Cultural Barriers to Breast Cancer Screening in Arab Women

Alatrash¹

2020

Handbook of Healthcare in the Arab World

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Breast cancer is the most common type of cancer in the world and also in Arab countries. Despite the fact that its incidence and mortality rates in the Arab world are on the rise, preventive care is not practiced by Arab women. Breast cancer screening is highly recommended to detect the disease early, promote health, and reduce mortality rates. Several barriers were found to influence views, beliefs, attitudes, and behaviors of Arab women toward breast cancer screening. Addressing barriers related to the Arab culture, religion, and spirituality, in addition to social and personal barriers, is a critical element that must be wellunderstood to reinforce the importance of breast cancer screening and improve related practices. This chapter discusses the incidence and current status of breast cancer screening in the Arab world. It also examines and analyzes sociocultural, religious, and spiritual barriers to breast cancer screening that must be integrated into

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Health system barriers and enablers to early access to breast cancer screening, detection, and diagnosis: a global analysis applied to the MENA region

Cited by 38 publications

References 49 publications

Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Implementation strategies for the guidelines for the early detection of breast cancer in Brazil

Cultural Barriers to Breast Cancer Screening in Arab Women

Cultural Barriers to Breast Cancer Screening in Arab Women

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