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Abstract
Mammographic screening programs are essential in timely detection and effective treatment of breast cancer. Since 2006, Croatia implemented a national MSP which asks for a regular biannual mammography for all women 50 - 69 years of age. First-visit screening attendance in the country is estimated at 58.3% with the trend of gradually decreasing re-attendance rates. Since patient satisfaction with the screening procedure may influence subsequent adherence, this study aimed to assess patient satisfaction in order to predict and improve patient re-attendance rate, a first-time effort of such kind in Croatia. 201 random patients undergoing mammography screening procedure at four facilities in Croatia were asked to complete an anonymous questionnaire which specifically evaluated the following aspects of patient experience: patient attitude, facility surroundings, staff attitude and pre-examination information transfer, associated physical pain, psychological discomfort, and finally overall patient impressions and satisfaction. The majority of our examinees expressed high satisfaction with MSP and an intention to re-screen; patient attitude, facility environment and staff attitude were deemed overly positive, whereas the majority of patients estimated the physical and psychological pain associated tolerable. These results suggest that patient satisfaction is not a critical factor influencing future adherence rate in MSP, and other components of the program should be evaluated and improved.
Highlights
Mammography (MG) plays a central role in the diagnosis of breast cancer (BC), the 2nd leading cause of cancer-related death in women
The majority of our examinees expressed high satisfaction with MSP and an intention to re-screen; patient attitude, facility environment and staff attitude were deemed overly positive, whereas the majority of patients estimated the physical and psychological pain associated tolerable. These results suggest that patient satisfaction is not a critical factor influencing future adherence rate in MSP, and other components of the program should be evaluated and improved
Considering that high patient satisfaction with the procedure could improve patient adherence rate, which has been decreasing in recent years, we designed this study to assess patient experience in a sample of women participating in Croatian national MSP
Summary
Mammography (MG) plays a central role in the diagnosis of breast cancer (BC), the 2nd leading cause of cancer-related death in women. National MSP is a significant logistical, organizational and financial challenge, whose success depends highly on attendance rate. In order to predict and improve re-attendance rate many studies have demonstrated the importance of evaluating patient satisfaction [6] [7] [8] [9] [10]. Considering that high patient satisfaction with the procedure could improve patient adherence rate, which has been decreasing in recent years, we designed this study to assess patient experience in a sample of women participating in Croatian national MSP. A first-time effort of such kind in quality assurance/quality control activities, which have not been sufficiently and systematically implemented in Croatia, this assessment contributes to identifying possible organizational and logistic weaknesses and opportunities for improvement of the program
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