scholarly journals Maternal breast cancer and communicating with children: A qualitative exploration of what resources mothers want and what health professionals provide

2019 ◽  
Vol 28 (6) ◽  
Author(s):  
Michelle Sinclair ◽  
Penelope Schofield ◽  
Jane Turner ◽  
Paula Rauch ◽  
Claire Wakefield ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Professionals ◽  
Qualitative Exploration ◽  
Communicating With Children

scholarly journals Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 2128
Author(s):  
Marta Maes-Carballo ◽  
Manuel Martín-Díaz ◽  
Luciano Mignini ◽  
Khalid Saeed Khan ◽  
Rubén Trigueros ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Shared Decision ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Professional Societies ◽  
New Policies

Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.

Breast cancer screening disparities among immigrant women by world region of origin: a population-based study in Ontario, Canada

2021 ◽  
Author(s):  
Mandana Vahabi ◽  
Aisha Lofters ◽  
Matthew Kumar ◽  
Richard H. Glazier
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Health Professionals ◽  
Mammography Screening ◽  
Immigrant Women ◽  
Primary Care Patient ◽  
Care Patient ◽  
Screening Methods ◽  
Recent Immigrants ◽  
Patient Enrolment

Background Breast cancer is one of the leading cause of mortality and morbidity in Canada. Screening is the most promising approach in identification and treatment of the disease at early stage of its development. Research shows higher rate of breast cancer mortality among ethno-racial immigrant women despite their lower incidence which suggests disparities in mammography screening. This study aimed to compare the prevalence of appropriate mammography screening among immigrant and native borne women and determine predicators of low mammography screening. Methods We conducted secondary data analyses on Ontario linked social and health databases to determine the proportion of women who were screened during the two- year period of 2010-2012 among 1.4 million screening-eligible women living in urban centres in Ontario. We used multivariate Poisson regression to adjust for various socio-demographic, health care-related and migration related variables. Results 64 % of eligible women were appropriately screened. Screening rates were lowest among new and recent immigrants compared to referent group (Canadian-born women and immigrant who arrived before 1985) (Adjusted Rate Ratio (ARR) (0.87, 95 % CI 0.85 -0.88 for new immigrants and 0.90, 95 % CI 0.89-0.91 for recent immigrants. Factors that were associated with lower rates of screening included living in low- income neighborhoods, having a male physician, having internationally- trained physician and not being enrolled in primary care patient enrolment models. Those not enrolled were 22 % less likely to be screened compared to those who were (ARR 0.78, 95 % CI 0.77-0.79). Conclusion To enhance immigrant women screening rates efforts should made to increase their access to primary care patient enrolment models and preferably female health professionals. Support should be provided to interventions that address screening barriers like language, acculturation limitations and knowledge deficit. Health professionals need to be educated and take an active role in offering screening guidelines during health encounters.

scholarly journals Health professionals’ perspectives on breast cancer risk stratification: understanding evaluation of risk versus screening for disease

2019 ◽  
Vol 40 (1) ◽  
Author(s):  
Svetlana Puzhko ◽  
Justin Gagnon ◽  
Jacques Simard ◽  
Bartha Maria Knoppers ◽  
Sophia Siedlikowski ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Risk Stratification ◽  
Health Professionals

scholarly journals Qualitative exploration of health professionals’ experiences of communicating positive newborn bloodspot screening results for nine conditions in England

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037081 ◽  
Author(s):  
Jane Chudleigh ◽  
Holly Chinnery ◽  
Jim R Bonham ◽  
Ellinor Olander ◽  
Louise Moody ◽  
...  
Keyword(s):  
Health Professionals ◽  
Good Practice ◽  
Future Research ◽  
Structured Interviews ◽  
Health Service Provider ◽  
Registration Number ◽  
Insufficient Time ◽  
Newborn Bloodspot Screening ◽  
Qualitative Exploration ◽  
Time And Energy

ObjectiveTo explore health professionals’ experiences of communicating positive newborn bloodspot screening (NBS) results, highlight differences, share good practice and make recommendations for future research.DesignQualitative exploratory design was employed using semi-structured interviewsSettingThree National Health Service provider organisations in EnglandParticipantsSeventeen health professionals involved in communicating positive newborn bloodspot screening results to parents for all nine conditions currently included in the newborn bloodspot screening programme in England.ResultsFindings indicated variation in approaches to communicating positive newborn bloodspot screening results to parents, largely influenced by resources available and the lack of clear guidance. Health professionals emphasised the importance of communicating results to families in a way that is sensitive to their needs. However, many challenges hindered communication including logistical considerations; difficulty contacting the family and other health professionals; language barriers; parental reactions; resource considerations; lack of training; and insufficient time.ConclusionHealth professionals invest a lot of time and energy trying to ensure communication of positive newborn bloodspot screening results to families is done well. However, there continues to be great variation in the way these results are communicated to parents and this is largely influenced by resources available but also the lack of concrete guidance. How best to support health professionals undertaking this challenging and emotive task requires further exploration. We recommend evaluation of a more cohesive approach that meets the needs of parents and staff while being sensitive to the subtleties of each condition.Trial registration numberISRCTN15330120

A Qualitative Exploration of the Impact of Yoga on Breast Cancer Survivors with Aromatase Inhibitor-Associated Arthralgias

EXPLORE ◽  
2012 ◽  
Vol 8 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Mary Lou Galantino ◽  
Laurie Greene ◽  
Benjamin Archetto ◽  
Melissa Baumgartner ◽  
Paula Hassall ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Aromatase Inhibitor ◽  
Breast Cancer Survivors ◽  
Qualitative Exploration ◽  
The Impact

OP113 Iramuteq Analysis Of Trastuzumab's Public Consultation In Brazil

2018 ◽  
Vol 34 (S1) ◽  
pp. 42-43
Author(s):  
Viviane Carvalho ◽  
Everton Silva ◽  
Maria-Sharmila Sousa ◽  
Ricardo Sampaio ◽  
Jorge Barreto
Keyword(s):  
Breast Cancer ◽  
Pharmaceutical Industry ◽  
Health Professionals ◽  
Public Involvement ◽  
Public Consultation ◽  
National Committee ◽  
Efficient Tool ◽  
Health Technologies ◽  
Class 1 ◽  
Public Consultations

Introduction:In Brazil, the “Sistema Unico de Saúde” (SUS) is a public health system that has universal coverage, comprehensive care, and principles like community participation. The incorporation, update or exclusion of new health technologies is done by the National Committee for Technology Incorporation (CONITEC), which issues reports on the incorporation of technologies and submits them to public consultations, which is the main mechanism of public involvement and an opportunity to influence the decision to access and coverage to new health technologies. Our study aimed to investigate a typology of social representations on the contributions from 2012 to the CONITEC's public consultations to the incorporation of Trastuzumab for the treatment of initial breast cancer in Brazil.Methods:Our study deployed a mixed-methods approach to semi-quantitatively analyze the social representativeness and corpus composition of all the public consultation contributions for the recommendation of the Trastuzumab's incorporation for treatment of initial breast cancer within SUS, as well as the authors' qualitative analysis of the IRAMUTEQ software as a potential effective and efficient tool to semi-qualitatively analyze such public consultations. All contributions were included (127 contributions, from several Brazilian states) and organized into a single corpus, which was submitted to 5 types of analyzes (classical lexical analysis, analysis of group specificities, descending hierarchical classification; similitude analysis and word cloud).Results:The general corpus consisted of 114 texts, separated into 685 text segments (TS), with use of 79.12 percent of total TS (684). The analyzed content was categorized into four classes: Class 1 – Patient Representations/ Advocacy (186 ST-34.3 percent); Class 2: Pharmaceutical Industry/ Advocacy (181 ST-33.4 percent); Class 3: Health Professionals (81 ST-14.9 percent); and Class 4: Individual Contributions (94 -17.3 percent). Class 1 corpus consisted mostly of contributions made from a breast cancer patient association/ advocacy report, which focused mainly on lay expertise terminology. We observed a proximity in corpus between Classes 2 and 3, showing a potential approximation between the pharmaceutical industry and health professionals' contributions, to whom the main word occurrences related to health technologies. Class 4 corpus focused on improvement and individual need, as well as in corpus referring to SUS.Conclusions:From our findings, we observed: (i) a potential similarity in contributions of health professionals and pharmaceutical industry; (ii) how lay expertise might affect the contributions of patients individually and within advocacy and patient organizations; and (iii) the uses and limitations of IRAMUTEQ as potentially effective and efficient tool to semi-qualitatively analyze health technology assessment public consultation contributions.

scholarly journals Breast cancer, what would you choose? – A survey of health professionals

2014 ◽  
Vol 12 ◽  
pp. S16
Author(s):  
Emma Woolley ◽  
Mohammed Elsayed ◽  
Michael Carr ◽  
Ludger Barthelmes
Keyword(s):  
Breast Cancer ◽  
Health Professionals

scholarly journals Unmet information needs of men with breast cancer and health professionals

2020 ◽  
Vol 29 (5) ◽  
pp. 851-860
Author(s):  
Tom I. Bootsma ◽  
Petra Duijveman ◽  
Anouk Pijpe ◽  
Pernilla C. Scheelings ◽  
Arjen J. Witkamp ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Professionals ◽  
Information Needs
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