Implicación de los profesionales de Atención Primaria en el programa de detección precoz de cáncer colorrectal del País Vasco

• Saloa Unanue Arza ^[1] ; Eunate Arana Arri ; Isabel Portillo Villares ^[2] ; Inmaculada Arostegui Madariaga
  1. [1] Departamento de Enfermería I, Facultad de Medicina y Enfermería. Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU. Leioa. España
  2. [2] Programa de Prevención de Cáncer Colorrectal del País Vasco. Servicio Vasco de Salud-Osakidetza. Bilbao. España
• Localización: Revista española de salud pública, ISSN 1135-5727, ISSN-e 2173-9110, Nº. 95, 2021
• Idioma: español
• Títulos paralelos:
  • Involvement of the Primary Healthcare professionals in the Colorectal Cancer Screening Programme of the Basque Country
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Fundamentos: El Gobierno Vasco (España) aprobó en 2008 un programa de detección del cáncer colorrectal de base poblacional en Atención Primaria. Se ha logrado una cobertura del 100% con una tasa de participación media del 68,4%. Los profesionales de medicina y enfermería desempeñan un papel fundamental en su implementación.

    El objetivo fue describir las características, implicación y actitudes de los profesionales de la salud que implementan el programa.

    Métodos: Estudio descriptivo transversal a personal de medicina y enfermería entre mayo y junio de 2016. Se diseñó un cuestionario en línea ad-hoc. Los datos incluían información sociodemográfica y preguntas relativas a su implicación en el programa.

    Resultados: 1.216 profesionales de la salud respondieron al cuestionario (50,7% medicina y 49,3% enfermería).

    El 78% eran mujeres. El 75,8% consideró que el programa era muy importante, aunque se encontraron diferencias entre profesionales de medicina y de enfermería.

    El 89% asistió a formación y el 34% a jornadas científicas sobre el cribado por lo menos una vez. Se observaron diferencias entre médicos y profesionales de la enfermería en cuanto a la asistencia a formación y jornadas y en la importancia que daban al programa.

    Conclusiones: Existe un alto nivel de participación de los profesionales de la atención primaria de la salud en el programa y lo consideran muy importante. Las diferencias entre los profesionales en cuanto a su opinión y experiencia deben ser tenidas en cuenta en el diseño de los programas, ya que son ellos los que tienen un contacto más estrecho con la población.

  • English

    Background: The Basque Government (Spain) approved a population based Colorectal Cancer Screening Programme in 2008 with its base on Primary Healthcare.

    Since then, a coverage of 100% of the population and an average participation rate of 68.4% have been achieved.

    General Practitioners and nurses play a central role on its implementation. The aim of this work was to describe the characteristics, involvement and attitudes of the health professionals that implement the programme.

    Methods: A cross-sectional descriptive study was conducted in Primary Healthcare to general practitioners and nurses between May and June of 2016. An ad-hoc online questionnaire was designed. The data included sociodemographic information and questions regarding their involvement on the programme.

    Results: 1,216 health professionals answered the questionnaire, 50.7% were general practitioners and 49.3% nurses.

    78% of the responders were women. The 75.8% considered the programme very important although differences were found between general practitioners and nurses. The 89% of the professionals attended training and 34% scientific workshops about screening at least once. There were differences between general practitioners and nurses on the attendance to the training and importance they give to the programme, and on their participation on workshops.

    Conclusions: There is a high level of involvement of Primary Healthcare professionals in the programme as they consider it very important; this could be one of the keys for its success. The differences between professionals on their opinion and experience should be taken into account on its design, as they are the ones with a closer contact with the population.

• Referencias bibliográficas
  • Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in...
  • World Health Organization. Cancer control: knowledge into action: WHO guide for effective programmes. World Health Organization; 2007. [Accessed...
  • Hewitson P, Glasziou Paul P, Irwig L et al. Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Cochrane Database...
  • Gil L, de Castro V, Molinuevo A et al. Supervivencia de Cáncer en la Comunidad Autónoma Vasca 2000-2012. Department of Health, Basque Government....
  • Report from the commission to the European parliament, the council, the European economic and social committee and the committee of the regions....
  • Spanish Ministry of Health and Social Policy. Cancer Strategy of the Spanish National Health System. Ministry of Health and Social Policy;...
  • Boletín Oficial del Estado. Orden SSI/2065/2014, de 31 de octubre, por la que se modifican los anexos I, II y III del Real Decreto 1030/2006,...
  • Idígoras I, Arrospide A, Portillo I et al. Evaluation of the colorectal cancer screening Programme in the Basque Country (Spain) and its effectiveness...
  • Moss S, Ancelle-Park R, Brenner H. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition Evaluation...
  • Power E, Miles A, Von Wagner C et al. Uptake of colorectal cancer screening: System, provider and individual factors and strategies to improve...
  • Van Dam L, Korfage IJ, Kuipers EJ et al. What influences the decision to participate in colorectal cancer screening with faecal occult blood...
  • Wools A, Dapper EA, de Leeuw JR. Colorectal cancer screening participation: A systematic review. Eur J Public Health 2016;26:156. https://doi.org/10.1093/eurpub/ckv148
  • Chapple A, Ziebland S, Hewitson P et al. What affects the uptake of screening for bowel cancer using a faecal occult blood test (FOBt): a...
  • Steele RJ, Rey J, Lambert R. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition. Professional...
  • Seeff LC, Nadel MR, Klabunde CN et al. Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer 2004;100:2093-2103....
  • Klabunde CN, Vernon SW, Nadel MR et al. Barriers to Colorectal Cancer Screening: A Comparison of Reports from Primary Care Physicians and...
  • Guessous I, Dash C, Lapin P, Doroshenk M, Smith RA, Klabunde CN. Colorectal cancer screening barriers and facilitators in older persons. Prev...
  • Beydoun HA, Beydoun MA. Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes...
  • Weiss JM, Smith MA, Pickhardt PJ et al. Predictors of colorectal cancer screening variation among primary-care providers and clinics. Am J...
  • Lafata JE, Cooper G, Divine G et al. Patient-physician colorectal cancer screening discussion content and patients’ use of colorectal cancer...
  • Zapka JG, Puleo E, Vickers-Lahti M et al. Healthcare system factors and colorectal cancer screening. Am J Prev Med. 2002;23:28-35. https://doi.org/10.1016/S0749-...
  • Peterson EB, Ostroff JS, DuHamel KN et al. Impact of provider-patient communication on cancer screening adherence: A systematic review. Prev...
  • Ponencia de Cribado Poblacional de la Comisión de Salud Pública. Documento marco sobre cribado poblacional. Ministry of Health, Social Services...
  • Braithwaite D, Emery J, De Lusignan S et al. Using the Internet to conduct surveys of health professionals: a valid alternative? Fam Pract....
  • Cook C, Heath F, Thompson RL. A meta-analysis of response rates in web or internet-based surveys. Educ Psychol Meas. 2000;60:821-836. https://doi.org/10.1177/00131640021970934
  • Cho YI, Johnson TP, VanGeest JB. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health...
  • Phillips AW, Friedman BT, Utrankar A et al. Surveys of health professions trainees: prevalence, response rates, and predictive factors to...