Cervical cancer screening in Bulgaria--past and present experience
| Autor: | Zdravka, Valerianova, Yulia, Panayotova, Camilla, Amati, Paolo, Baili, F, Bannon |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty media_common.quotation_subject MEDLINE Uterine Cervical Neoplasms 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Age Distribution Health care Medicine Humans Mass Screening Bulgaria Physician's Role Socioeconomic status Mass screening Health policy Early Detection of Cancer media_common Aged Cervical cancer Gynecology business.industry Mortality rate Incidence General Medicine Middle Aged Patient Acceptance of Health Care medicine.disease Payment Oncology 030220 oncology & carcinogenesis Family medicine Female business |
| Zdroj: | Tumori. 96(4) |
| ISSN: | 0300-8916 |
| Popis: | Background In Bulgaria the previously (1970–1985) existing population based cervical cancer screening was replaced in the early 1990s with an opportunistic model due to political and socioeconomic reasons. As a result, in the last 20 years, cervical cancer incidence and mortality rates steady increased. The objective of the EUROCHIP project in Bulgaria was to evaluate the readiness of the health system as well as health providers' attitudes to implementation in the country of a population based screening program for cervical cancer. Methods Using a structured questionnaire, a convenience sample of medical specialists representing different actors involved in cervical cancer prevention, treatment, financing and policy were interviewed. Results The majority of interviewed practitioners worried that organization and implementation of an effective population-based cervical cancer screening program is not possible in the current unstable health system. A nostalgic attitude to the cervical cancer screening, performed in the past and pessimistic view on the capability of the current health system to cope are strong. As main barriers to implementation of an effective program were pointed financial and organizational ones. Motivation for gynecologists to perform smear test should include better information, organization and payment. Discussion Medical specialists in Bulgaria are aware of the alarming rates of cervical cancer incidence and mortality in the country. However, due to the insufficient communication and interaction between policy makers and front-line health care staff, they do not have enough information on the ongoing programs. Absence of health policy regarding screening is considered as main barrier for implementation of an effective screening program. |
| Databáze: | OpenAIRE |
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