Mammogram screening in Chile: Using mixed methods to implement health policy planning at the primary care level

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dc.contributor.authorPuschel, Klaus
dc.contributor.authorThompson, Beti
dc.date.accessioned2024-01-10T13:14:34Z
dc.date.available2024-01-10T13:14:34Z
dc.date.issued2011
dc.description.abstractBreast cancer has the highest incidence of all cancers among women in Chile. In 2005, a national health program progressively introduced free mammography screening for women aged 50 and older: however, three years later the rates of compliance with mammographic screening was only 12% in Santiago, the capital city of Chile. This implementation article combines the findings of two previous studies that applied qualitative and quantitative methods to improve mammography screening in an area of Santiago. Socio-cultural and accessibility factors were identified as barriers and facilitators during the qualitative phase of the study and then applied to the design of a quantitative randomized clinical trial. After six months of intervention, 6% of women in the standard care group, 51.8% in the low intensity intervention group, and 70.1% in the high intensity intervention group had undergone a screening mammogram. This review discusses how the utilization of mixed methods research can contribute to the improvement of the implementation of health policies in local communities. (C) 2011 Elsevier Ltd. All rights reserved.
dc.description.funderFOGARTY INTERNATIONAL CENTER
dc.description.funderFIC NIH HHS
dc.fechaingreso.objetodigital21-03-2024
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.breast.2011.02.002
dc.identifier.eissn1532-3080
dc.identifier.issn0960-9776
dc.identifier.pubmedidMEDLINE:21334897
dc.identifier.urihttps://doi.org/10.1016/j.breast.2011.02.002
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78420
dc.identifier.wosidWOS:000290194000007
dc.information.autorucMedicina;Puschel K;S/I;83957
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherCHURCHILL LIVINGSTONE
dc.revistaBREAST
dc.rightsacceso abierto
dc.subjectBreast cancer screening
dc.subjectChile
dc.subjectImplementation
dc.subjectMixed models
dc.subjectBREAST-CANCER
dc.subjectPUBLIC-HEALTH
dc.subjectWOMEN
dc.subjectINTERVENTIONS
dc.subjectTRIAL
dc.subjectPROMOTION
dc.subjectCHILDREN
dc.subjectBELIEFS
dc.subjectAMERICA
dc.subjectMODEL
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMammogram screening in Chile: Using mixed methods to implement health policy planning at the primary care level
dc.typeartículo
dc.volumen20
sipa.codpersvinculados83957
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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