Table 9 Determinants of the implementation of mammography screening in the Brazilian public health system according to process domain
Process | Barriers | Facilitators |
|---|---|---|
Planning | • Lack of planning and monitoring of the mammography screening program [59, 82, 87] | No studies identified |
Engagement | No studies identified | • Engagement of the Primary Health Care team [82] |
Opinion Leaders | • Greater influence of specialists (gynecology, mastology, radiology) [55, 56] | No studies identified |
External Change Agents | • Advocacy for mammography and educational campaigns during Pink October [57, 83, 104] | No studies identified |
Executing | • Low compliance with Primary Health Care screening program recommendations [84] • Lower mammographic coverage in the target population [12, 46, 47, 52, 54, 82, 91, 93, 94, 96, 97, 106, 107] | No studies identified |