Table 8 Determinants of the implementation of mammography screening in the Brazilian public health system according to intervention characteristics domain
Intervention characteristics | Barriers | Facilitators |
|---|---|---|
Evidence strength and quality | • Lack of national studies on the risks of mammography screening [57] | No studies identified |
Relative Advantage | • Perception of controversies regarding the benefits of mammography screening [10, 57, 58, 83, 101] | No studies identified |
Adaptability | No studies identified | • Use of mobile mammography units [29, 46] • Support for decision-making (managers, professionals, population) [10, 58, 83] |
Complexity | • Negative perceptions of organized screening program management [83] • Long wait times to receive mammography results or result loss [47, 82, 85] • Difficulties understanding healthcare system flows [43] | No studies identified |
Design quality and packaging | • Lower quality of imaging services and mammographic reports [77, 102] | • Good quality of mammography services [46] |