SWOT analiza pilot projekta ranog otkrivanja karcinoma prostate na lokalnom nivou

professional thesis

• Title (english): SWOT analysis of a distinct local pilot project for prostate cancer early detection
• Author: Kristina Sambol
• Mentor: Hrvoje Tiljak (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2019-01-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

U posljednje vrijeme vode se brojne rasprave o tome je li potrebno provoditi masovni probir muške populacije na karcinom prostate. Karcinom prostate postaje sve veći javnozdravstveni problem obzirom da svake godine raste broj novooboljelih, pri čemu je prostata-specifični antigen (PSA) jedini marker dostupan za rano otkrivanje karcinoma prostate, ali nije visoko specifičan. Zbog toga što je PSA povišen i kod drugih benignih bolesti prostate, takav probir (engl. screening) dovodi do često nepotrebnog agresivnog liječenja i obrade. Sve je veći broj zagovornika oportunističkog probira, odnosno onog koji je prilagođen individualnim karakteristikama svakog bolesnika. S obzirom da smrtnost od karcinoma prostate u Varaždinskoj županiji raste, započelo se s pilot projektom ranog otkrivanja karcinoma prostate koji je prekinut zbog nedostatka financijskih sredstava, a cilj mu je bio prikupiti podatke na temelju kojih bi se napravio model borbe protiv raka prostate na nacionalnoj razini. Cilj istraživanja je procijeniti vrijednost pilot projekta korištenjem SWOT metodologije. Specifični cilj je procijeniti čimbenike koji utječu na odaziv na javni poziv na sudjelovanje u programu ranog otkrivanja karcinoma sa posebnim osvrtom na oportunistički probir. Rezultati su pokazali da je za promatrani preventivni pregled najviše ispitanika saznalo od svog liječnika obiteljske medicine (71,35%), dok je informaciju putem regionalne televizije uočilo samo 10,22% ispitanika. Slično zapažanje ponovilo se u pitanju što je potaklo ispitanike na odazivanja pozivu na pregled: liječnik obiteljske medicine sa najvećim udjelom od 59,44%, te osobna briga za zdravlje sa udjelom 19,89%. Rezultati ukazuju na zaključak kako oportunistički probir proveden u djelatnosti obiteljske medicine može značajno unaprijediti odaziv na preventivne preglede. Zaključci SWOT analize ukazuju na snagu primarne zdravstvene zaštite kao promotora odaziva na preventivne preglede, slabosti u organizaciji i podjeli rada unutar ukupne zdravstvene službe, prilike u izgradnji primjerenih smjernica i unaprijeđenu suradnje javnog zdravstva i davatelja usluga u zdravstvu, te prepreke u nedosljednosti provođenja preventivnih programa dijelom vezenih uz financijska ograničenja.

Abstract (english)

There have been many discussions whether it is necessary to do prostate cancer screening. Prostate cancer is a growing problem because number of new cases increase every year. For now, prostate specific antigen (PSA) is only marker for early detection of cancer but the test is not highly specific. Because PSA levels may be elevated by different, benign conditions this leading to far more unnecessary biopsies and treatment. There is a growing number of advocates of opportunistic screening because is tailored to individual patient characteristic. The number of new cases of prostate cancer in Varazdin County and in Croatia has been increasing every year. For this reason, a pilot project for early detection of prostate cancer was started in Varazdin County and its main goal is to collect data that would become a base for creating a model for the fight against prostate cancer at a national level. Aim of the study was assess value of such pilot project by SWOT analysis methodology. Specific aim was to assess factors related to response to public health campaign for prostate cancer screening and influence of opportunistic screening to patient response rate. Result showed that most of patients (71,35%) who enrolled for PSA testing got information about screening program from their Family Doctor, compared to regional television program which was origin of information for only 10.22% patients who enrolled for PSA testing. Furthermore, when asked about main influence for entering prostate carcinoma screening program, patients named Family Doctor as their first choice (59,44%), and their own health habits as second choice (19,89%). Results stressed importance and benefits of opportunistic screening methodology in improving response rate for screening programs even if they were run through public health campaign. SWOT analysis showed Strengths of primary health care as promotor of response rate in public screening programs; Weaknesses in organization and task allocation within health service; Opportunities in development proper guidelines and improvement of collaboration of public health sector and other health service resources; and Threats in absence of sustainability of preventive health programs partly related to financing issues.

• Keywords: obiteljska medicina; preventiva; karcinom prostate; prostatični specifični antigen
• Keywords (english): family medicine; preventive; prostatic neoplasms; prostate specific antigen
• Language: croatian
• URN:NBN: urn:nbn:hr:105:703685
• Study programme: Title: Family Medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra obiteljske medicine (sveučilišni/a magistar/magistra obiteljske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-02-10 11:37:24