Patients’ Expectations and Preferences for the Organizational Conditions of the Colorectal Cancer Screening Programme in Poland: A Qualitative Analysis

Author:

Gac Aleksandra1,Kędzior Katarzyna Joanna2ORCID,Pogorzelczyk Katarzyna1,Wojtecka Agnieszka1ORCID,Wojnarowska Małgorzata3,Robakowska Marlena1ORCID,Kalinowska-Beszczyńska Olga1,Libura Maria4,Kolasa Katarzyna5,Włodarczyk Włodzimierz Cezary6ORCID,Dziurda Dominik2ORCID,Topór-Mądry Roman26,Balwicki Łukasz1ORCID

Affiliation:

1. Department of Public Health and Social Medicine, Medical University of Gdansk, 80-210 Gdansk, Poland

2. Agency for Health Technology Assessment and Tariff System, 00-032 Warsaw, Poland

3. Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-210 Gdansk, Poland

4. Department of Didactics and Medical Simulation, University of Warmia-Mazury, 10-718 Olsztyn, Poland

5. Division of Health Economics and Healthcare Management, Kozminski University, 03-301 Warsaw, Poland

6. Institute of Public Health, Jagiellonian University, 30-348 Cracow, Poland

Abstract

(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.

Funder

Minister of Health

European Union

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference26 articles.

1. (2021, November 28). Estimates Of Colorectum Cancer Incidence And Mortality In 2020 (for EU-27, Poland). Available online: https://ecis.jrc.ec.europa.eu/.

2. Wojtyniak, B., and Goryński, P.E. (2020). Health Status of Polish Population and Its Determinants, National Institute of Public Health—National Institute of Hygiene.

3. Colorectal cancer screening: An updated review of the available options;Issa;World J. Gastroenterol.,2017

4. (2021, October 17). Colorectal Cancer Screening Program. Available online: http://pbp.org.pl/.

5. Design of the Polish Colonoscopy Screening Program: A randomized health services study;Kaminski;Endoscopy,2015

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