Barreras y facilitadores en la implementación del Programa Nacional de Prevención del Cáncer Colorrectal: una evaluación cualitativa desde la perspectiva del personal de salud.
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| Title: | Barreras y facilitadores en la implementación del Programa Nacional de Prevención del Cáncer Colorrectal: una evaluación cualitativa desde la perspectiva del personal de salud. |
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| Alternate Title: | Barriers and facilitators in the implementation of the National Colorectal Cancer Prevention Program: a qualita tive evaluation from the perspective of health personnel. |
| Authors: | Antonietti, Laura1,2 (AUTHOR), Sarriguren, Cecilia1 (AUTHOR), Luján, María Laura2 (AUTHOR), Esandi, María Eugenia3 (AUTHOR), Bruzzone, Ariana4 (AUTHOR) ariana.bruzzone@gmail.com |
| Source: | Medicina (Buenos Aires). nov/dic2025, Vol. 85 Issue 6, p1289-1306. 18p. |
| Subjects: | COLORECTAL cancer, MEDICAL screening, PREVENTIVE medicine, MEDICAL personnel, QUALITATIVE research, HEALTH products |
| Geographic Terms: | BUENOS Aires (Argentina), ARGENTINA |
| Abstract (English): | Introduction: In 2013, Argentina launched a Nation al Program for the Prevention and Early Detection of Colorectal Cancer (CRC). A decade later, the incidence of this cancer continues to rise, with low screening cover age rates and late-stage diagnoses. This study examines the barriers and facilitators to the implementation of the program in a municipality within the Buenos Aires metropolitan area. Materials and methods: A qualitative study was con ducted using purposive sampling of healthcare person nel involved in the management and implementation of the program in Florencio Varela. Data were collected between May and November 2022 through 13 individual semi-structured interviews and 2 group interviews, transcribed, coded, and analyzed using an inductive-deductive approach based on the Consolidated Frame work for Implementation Research. Results: Identified barriers included political and eco nomic factors (lack of continuity in healthcare policies, fragmentation of the healthcare system, underfunding due to governmental changes), resource limitations (insufficient access to colonoscopy), and low awareness and lack of public knowledge about CRC screening. Facilitators included the program's compatibility with the activities of primary care centers, its acceptance by healthcare teams, and their strong commitment to the community. Discussion: Numerous implementation facilitators were identified; however, they were not robust enough to overcome the factors contributing to the program's dis continuation. Several identified barriers reflect structural obstacles common to other health programs, whose resolution is key to sustained implementation in similar contexts. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: En 2013, Argentina creó un Programa Nacional de Prevención y Detección Temprana del Cán cer Colorrectal (CCR). Una década después, la incidencia de este cáncer sigue en aumento, con bajas tasas de tamizaje y diagnósticos tardíos. Este estudio analiza las barreras y facilitadores de la implementación del programa en un municipio del conurbano bonaerense. Materiales y métodos: Investigación cualitativa, con muestreo intencional de personal de salud invo lucrado en la gestión e implementación del programa en Florencio Varela. Se recopilaron datos a través de 13 entrevistas semiestructuradas individuales y 2 grupales, realizadas entre mayo y noviembre de 2022, las cuales fueron transcritas, codificadas y analizadas con un enfoque inductivo-deductivo ba sado en el Marco Consolidado para la Investigación de Implementación. Resultados: Entre las barreras identificadas se en cuentran los factores político-económicos (falta de continuidad de políticas sanitarias, fragmentación del sistema de salud, desfinanciamiento por cambios guber namentales), limitación de recursos (acceso insuficiente a videocolonoscopía), desconocimiento y falta de con cientización sobre el tamizaje por parte de la población. Entre los facilitadores, se destacan la compatibilidad del programa con las actividades de los centros de salud, su receptividad por parte de los equipos y el compromiso de estos con la población. Discusión: Se reconocieron numerosos facilitadores de la implementación, aunque no fueron lo suficientemente robustos como para superar los aspectos que afectaron la discontinuidad del programa. Varias de las barreras identificadas reflejan obstáculos estructurales comunes a otros programas de salud, cuyo abordaje es clave para una implementación sostenida en contextos similares. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 192796538 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Barreras y facilitadores en la implementación del Programa Nacional de Prevención del Cáncer Colorrectal: una evaluación cualitativa desde la perspectiva del personal de salud. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Barriers and facilitators in the implementation of the National Colorectal Cancer Prevention Program: a qualita tive evaluation from the perspective of health personnel. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Antonietti%2C+Laura%22">Antonietti, Laura</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sarriguren%2C+Cecilia%22">Sarriguren, Cecilia</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luján%2C+María+Laura%22">Luján, María Laura</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Esandi%2C+María+Eugenia%22">Esandi, María Eugenia</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bruzzone%2C+Ariana%22">Bruzzone, Ariana</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> ariana.bruzzone@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+%28Buenos+Aires%29%22">Medicina (Buenos Aires)</searchLink>. nov/dic2025, Vol. 85 Issue 6, p1289-1306. 18p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22COLORECTAL+cancer%22">COLORECTAL cancer</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+screening%22">MEDICAL screening</searchLink><br /><searchLink fieldCode="DE" term="%22PREVENTIVE+medicine%22">PREVENTIVE medicine</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITATIVE+research%22">QUALITATIVE research</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+products%22">HEALTH products</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22BUENOS+Aires+%28Argentina%29%22">BUENOS Aires (Argentina)</searchLink><br /><searchLink fieldCode="DE" term="%22ARGENTINA%22">ARGENTINA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: In 2013, Argentina launched a Nation al Program for the Prevention and Early Detection of Colorectal Cancer (CRC). A decade later, the incidence of this cancer continues to rise, with low screening cover age rates and late-stage diagnoses. This study examines the barriers and facilitators to the implementation of the program in a municipality within the Buenos Aires metropolitan area. Materials and methods: A qualitative study was con ducted using purposive sampling of healthcare person nel involved in the management and implementation of the program in Florencio Varela. Data were collected between May and November 2022 through 13 individual semi-structured interviews and 2 group interviews, transcribed, coded, and analyzed using an inductive-deductive approach based on the Consolidated Frame work for Implementation Research. Results: Identified barriers included political and eco nomic factors (lack of continuity in healthcare policies, fragmentation of the healthcare system, underfunding due to governmental changes), resource limitations (insufficient access to colonoscopy), and low awareness and lack of public knowledge about CRC screening. Facilitators included the program's compatibility with the activities of primary care centers, its acceptance by healthcare teams, and their strong commitment to the community. Discussion: Numerous implementation facilitators were identified; however, they were not robust enough to overcome the factors contributing to the program's dis continuation. Several identified barriers reflect structural obstacles common to other health programs, whose resolution is key to sustained implementation in similar contexts. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: En 2013, Argentina creó un Programa Nacional de Prevención y Detección Temprana del Cán cer Colorrectal (CCR). Una década después, la incidencia de este cáncer sigue en aumento, con bajas tasas de tamizaje y diagnósticos tardíos. Este estudio analiza las barreras y facilitadores de la implementación del programa en un municipio del conurbano bonaerense. Materiales y métodos: Investigación cualitativa, con muestreo intencional de personal de salud invo lucrado en la gestión e implementación del programa en Florencio Varela. Se recopilaron datos a través de 13 entrevistas semiestructuradas individuales y 2 grupales, realizadas entre mayo y noviembre de 2022, las cuales fueron transcritas, codificadas y analizadas con un enfoque inductivo-deductivo ba sado en el Marco Consolidado para la Investigación de Implementación. Resultados: Entre las barreras identificadas se en cuentran los factores político-económicos (falta de continuidad de políticas sanitarias, fragmentación del sistema de salud, desfinanciamiento por cambios guber namentales), limitación de recursos (acceso insuficiente a videocolonoscopía), desconocimiento y falta de con cientización sobre el tamizaje por parte de la población. Entre los facilitadores, se destacan la compatibilidad del programa con las actividades de los centros de salud, su receptividad por parte de los equipos y el compromiso de estos con la población. Discusión: Se reconocieron numerosos facilitadores de la implementación, aunque no fueron lo suficientemente robustos como para superar los aspectos que afectaron la discontinuidad del programa. Varias de las barreras identificadas reflejan obstáculos estructurales comunes a otros programas de salud, cuyo abordaje es clave para una implementación sostenida en contextos similares. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=192796538 |
| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 18 StartPage: 1289 Subjects: – SubjectFull: COLORECTAL cancer Type: general – SubjectFull: MEDICAL screening Type: general – SubjectFull: PREVENTIVE medicine Type: general – SubjectFull: MEDICAL personnel Type: general – SubjectFull: QUALITATIVE research Type: general – SubjectFull: HEALTH products Type: general – SubjectFull: BUENOS Aires (Argentina) Type: general – SubjectFull: ARGENTINA Type: general Titles: – TitleFull: Barreras y facilitadores en la implementación del Programa Nacional de Prevención del Cáncer Colorrectal: una evaluación cualitativa desde la perspectiva del personal de salud. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Antonietti, Laura – PersonEntity: Name: NameFull: Sarriguren, Cecilia – PersonEntity: Name: NameFull: Luján, María Laura – PersonEntity: Name: NameFull: Esandi, María Eugenia – PersonEntity: Name: NameFull: Bruzzone, Ariana IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: nov/dic2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00257680 Numbering: – Type: volume Value: 85 – Type: issue Value: 6 Titles: – TitleFull: Medicina (Buenos Aires) Type: main |
| ResultId | 1 |
