Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening
Emerging evidence opens new possibilities to improve current breast cancer mammography screening programs. One promising avenue is to tailor mammography screening according to individual risk. However, some factors could challenge the implementation of such approach, specifically its potential impac...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2019-01-01
|
| Series: | New Genetics and Society |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/14636778.2018.1549477 |
| _version_ | 1797681270433513472 |
|---|---|
| author | Emmanuelle Lévesque Julie Hagan Bartha M. Knoppers Jacques Simard |
| author_facet | Emmanuelle Lévesque Julie Hagan Bartha M. Knoppers Jacques Simard |
| author_sort | Emmanuelle Lévesque |
| collection | DOAJ |
| description | Emerging evidence opens new possibilities to improve current breast cancer mammography screening programs. One promising avenue is to tailor mammography screening according to individual risk. However, some factors could challenge the implementation of such approach, specifically its potential impact on the equitable delivery of services. This study aims to identify the barriers and facilitators to the equitable delivery of services within a future integration of a personalized approach in the Québec screening program. We then propose different means to address them. We conducted 16 semi-structured interviews with stakeholders with a role in the management, implementation or assessment of the Québec screening program. The barriers and facilitators identified by respondents were regrouped in two themes: 1) Reproduction of social inequities, and 2) Amplification of regional disparities in access to services. We consider that fostering inclusion through communication strategies and relying on electronic communication technologies could help in addressing these issues. |
| first_indexed | 2024-03-11T23:42:29Z |
| format | Article |
| id | doaj.art-f221451e3e844882b944f3d665eff021 |
| institution | Directory Open Access Journal |
| issn | 1463-6778 1469-9915 |
| language | English |
| last_indexed | 2024-03-11T23:42:29Z |
| publishDate | 2019-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | New Genetics and Society |
| spelling | doaj.art-f221451e3e844882b944f3d665eff0212023-09-19T15:22:17ZengTaylor & Francis GroupNew Genetics and Society1463-67781469-99152019-01-01381385910.1080/14636778.2018.15494771549477Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screeningEmmanuelle Lévesque0Julie Hagan1Bartha M. Knoppers2Jacques Simard3McGill UniversityMcGill UniversityMcGill UniversityLaval UniversityEmerging evidence opens new possibilities to improve current breast cancer mammography screening programs. One promising avenue is to tailor mammography screening according to individual risk. However, some factors could challenge the implementation of such approach, specifically its potential impact on the equitable delivery of services. This study aims to identify the barriers and facilitators to the equitable delivery of services within a future integration of a personalized approach in the Québec screening program. We then propose different means to address them. We conducted 16 semi-structured interviews with stakeholders with a role in the management, implementation or assessment of the Québec screening program. The barriers and facilitators identified by respondents were regrouped in two themes: 1) Reproduction of social inequities, and 2) Amplification of regional disparities in access to services. We consider that fostering inclusion through communication strategies and relying on electronic communication technologies could help in addressing these issues.http://dx.doi.org/10.1080/14636778.2018.1549477breast cancerequityscreeningpersonalized medicine |
| spellingShingle | Emmanuelle Lévesque Julie Hagan Bartha M. Knoppers Jacques Simard Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening New Genetics and Society breast cancer equity screening personalized medicine |
| title | Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening |
| title_full | Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening |
| title_fullStr | Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening |
| title_full_unstemmed | Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening |
| title_short | Organizational challenges to equity in the delivery of services within a new personalized risk-based approach to breast cancer screening |
| title_sort | organizational challenges to equity in the delivery of services within a new personalized risk based approach to breast cancer screening |
| topic | breast cancer equity screening personalized medicine |
| url | http://dx.doi.org/10.1080/14636778.2018.1549477 |
| work_keys_str_mv | AT emmanuellelevesque organizationalchallengestoequityinthedeliveryofserviceswithinanewpersonalizedriskbasedapproachtobreastcancerscreening AT juliehagan organizationalchallengestoequityinthedeliveryofserviceswithinanewpersonalizedriskbasedapproachtobreastcancerscreening AT barthamknoppers organizationalchallengestoequityinthedeliveryofserviceswithinanewpersonalizedriskbasedapproachtobreastcancerscreening AT jacquessimard organizationalchallengestoequityinthedeliveryofserviceswithinanewpersonalizedriskbasedapproachtobreastcancerscreening |