Leiden University Scholarly Publications

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Bongaerts, T.H.G. (2024)

Screening the CITY: optimizing population-based cancer screening in the Netherlands from a primary care perspective

Doctoral Thesis
The studies described in this thesis provide additional evidence that the current Dutch population-based screening programmes (CSPs) can be further optimized, particularly concerning the participation of potential participants from highly urbanized and low socioeconomic status (SES) neighbourhoods. Our findings suggest that non-participation in the CSPs in these low SES-neighbourhoods is associated with more unfavourable, relatively advanced, tumour outcomes. Given that the decision to participate in a CSP is not solely based on rational decision-making processes, primary care providers could play an important role here. This would primarily involve informing and advising potential participants who are hesitant about participating in CSPs. In this thesis, we describe that both potential participants and general practitioners support the idea that primary care should be more involved in the invitation process of the CSPs. Based on our findings, we therefore recommend implementing...Show moreThe studies described in this thesis provide additional evidence that the current Dutch population-based screening programmes (CSPs) can be further optimized, particularly concerning the participation of potential participants from highly urbanized and low socioeconomic status (SES) neighbourhoods. Our findings suggest that non-participation in the CSPs in these low SES-neighbourhoods is associated with more unfavourable, relatively advanced, tumour outcomes. Given that the decision to participate in a CSP is not solely based on rational decision-making processes, primary care providers could play an important role here. This would primarily involve informing and advising potential participants who are hesitant about participating in CSPs. In this thesis, we describe that both potential participants and general practitioners support the idea that primary care should be more involved in the invitation process of the CSPs. Based on our findings, we therefore recommend implementing a proactive, risk-based invitation strategy from primary care regarding the invitation process of the current CSPs.
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Cancer Screening
Participation
General Practitioner
Primary Care
Netherlands
All authors
Bongaerts, T.H.G.
Supervisor
Numans, M.E.
Co-supervisor
Büchner, F.L.; Guicherit, O.R.
Committee
Portielje, J.E.A.; Stiggelbout, A.M.; Broeders, M.J.M.; Blanker, M.H.; Asselt, K.M. van
Qualification
Doctor (dr.)
Awarding Institution
Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
Date
2024-06-18
ISBN (print)
9789464839296

Funding

Sponsorship
Financial support for the printing of this thesis was kindly provided by the SBOH (employer of GP trainees in the Netherlands), and GeriCall (employer for physicians in elderly care)