IJCM  Vol.8 No.3 , March 2017
Patient Satisfaction in Croatian Nationwide Mammography Screening Program
Abstract: Mammographic screening programs are essential in timely detection and effective treatment of breast cancer. Since 2006, Croatia implemented a national MSP which asks for a regular biannual mammography for all women 50 - 69 years of age. First-visit screening attendance in the country is estimated at 58.3% with the trend of gradually decreasing re-attendance rates. Since patient satisfaction with the screening procedure may influence subsequent adherence, this study aimed to assess patient satisfaction in order to predict and improve patient re-attendance rate, a first-time effort of such kind in Croatia. 201 random patients undergoing mammography screening procedure at four facilities in Croatia were asked to complete an anonymous questionnaire which specifically evaluated the following aspects of patient experience: patient attitude, facility surroundings, staff attitude and pre-examination information transfer, associated physical pain, psychological discomfort, and finally overall patient impressions and satisfaction. The majority of our examinees expressed high satisfaction with MSP and an intention to re-screen; patient attitude, facility environment and staff attitude were deemed overly positive, whereas the majority of patients estimated the physical and psychological pain associated tolerable. These results suggest that patient satisfaction is not a critical factor influencing future adherence rate in MSP, and other components of the program should be evaluated and improved.
Cite this paper: Brnic, Z., Kasnik, K., Kasnik, K., Brnic, V., Borojevic, N., Ljubesic, L., Schmidt, S. and Krpan, T.(2017) Patient Satisfaction in Croatian Nationwide Mammography Screening Program. International Journal of Clinical Medicine, 8, 159-166. doi: 10.4236/ijcm.2017.83016.

[1]   Sickles, E.A. (1991) Periodic Mammographic Follow-Up of Probably Benign Lesions: Results in 3184 Consecutive Cases. Radiology, 179, 463-468.

[2]   Tabar, L., Fagerberg, C.J., Gad, A., Baldetrop, L., Holmberg, L.H., Grontoft, O., et al. (1985) Reduction in Mortality from Breast Cancer after Mass Screening with Mammography. Randomized Trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet, 1, 829-832.

[3]   Strnad, M. and Sogoric, S. (2010) National Program of Early Detection of Cancer in Croatia. Acta Medica Croatica, 64, 461-468.

[4]   Vaile, M.S.B., Calnan, M., Rutter, D.R. and Wall, R. (1993) Breast Cancer Screening Services in Three Areas: Uptake and Satisfaction. Journal of Public Health Medicine, 15, 37-45.

[5]   Elkind, A. and Eardley, A. (1990) Consumer Satisfaction with Breast Screening: A Pilot Study. Journal of Public Health Medicine, 12, 15-18.

[6]   Nielsen, B., Miaskowski, C., McCoy, C. and Rudisch, M. (1991) The Development and Implementation of Standards of Care in a Breast Cancer Screening Program. Oncology Nursing Forum, 18, 67-72.

[7]   Cockburn, J., Hill, D., Irwig, L., De Luise, T., Turnbull, D. and Schofield, P. (1991) Development and Validation of an Instrument to Measure Satisfaction of Participants at Breast Screening Programmes. European Journal of Cancer, 27, 827-831.

[8]   Rutter, D.R., Calnan, M., Vaile, M.S.B., Field, S. and Wade, K.A. (1992) Discomfort and Pain during Mammography: Description, Prediction, and Prevention. British Medical Journal, 305, 443-445.

[9]   Baines, C.J., To, T. and Wall, C. (1990) Women’s Attitudes to Screening after Participation in the National Breast Screening Study. A Questionnaire Survey. Cancer, 65, 1663-1669.<1663::AID-CNCR2820650735>

[10]   Fallowfield, L.J., Rodway, A. and Baum, M. (1990) What Are the Psychological Factors Influencing Attendance, Non-Attendance, and Re-Attendance at a Breast Screening Centre? Journal of the Royal Society of Medicine, 83, 547-551.

[11]   Scott, J. and Huskisson, E. (1976) Graphic Representation of Pain. Pain, 2, 175-184.

[12]   Loken, K., Steine, S. and Laerum, E. (1998) Mammography: Influence of Departmental Practice and Women’s Characteristics on Patient Satisfaction: Comparison of Six Departments in Norway. Quality in Health Care, 7, 136-141.

[13]   Doyle, C.A. and Stanton, M.T. (2002) Significant Factors in Patient Satisfaction Ratings of Screening Mammography. Radiography, 8, 159-172.

[14]   Almog, R., Hagoel, L., Tamir, A., Barnett, O. and Rennert, G. (2008) Quality Control in a National Program for the Early Detection of Breast Cancer: Women’s Satisfaction with the Mammography Process. Women’s Health Issues, 18, 110-117.

[15]   Dullum, J.R., Lewis, E.C. and Mayer, J.A. (2000) Rates and Correlates of Discomfort Associated with Mammography. Radiology, 214, 547-552.

[16]   Fine, M.K., Rimer, B.K. and Watts, P. (1993) Women’s Responses to the Mammography Experience. The Journal of the American Board of Family Practice, 6, 546-555.

[17]   Shrestha, S. and Poulos, A. (2001) The Effect of Verbal Information on the Experience of Discomfort in Mammography. Radiography, 7, 271-277.

[18]   Lambertz, C.K., Johnson, C.J., Montgomery, P.G. and Maxwell, J.R. (2008) Premedication to Reduce Discomfort during Screening Mammography. Radiology, 248, 765-772.

[19]   Domar, A.D., Eyvazzadeh, A., Allen, S., Roman, K., Wolf, R., Orav, J., et al. (2005) Relaxation Techniques for Reducing Pain and Anxiety during Screening Mammography. American Journal of Roentgenology, 184, 445-447.

[20]   Dibble, S.L., Israel, J., Nussey, B., Sayre, J.W., Brenner, R.J. and Sickles, E.A. (2005) Mammography with Breast Cushions. Women’s Health Issues, 15, 55-63.

[21]   Watson, E.K., Henderson, B.J., Brett, J., Bankhead, C. and Austoker, J. (2005) The Psychological Impact of Mammographic Screening on Women with a Family History of Breast Cancer—A Systematic Review. Psychooncology, 14, 939-948.

[22]   Brett, J., Austoker, J. and Ong, G. (1998) Do Women Who Undergo Further Investigation for Breast Screening Suffer Adverse Psychological Consequences? A Multi-Centre Follow-Up Study Comparing Different Breast Screening Result Groups Five Months after Their Last Breast Screening Appointment. Journal of Public Health Medicine, 20, 396-403.

[23]   Ware, J.E., Davies-Avery, A. and Stewart, A.L. (1978) The Measurement and Meaning of Patient Satisfaction. Health & Medical Care Services Review, 1, 3-15.

[24]   Dolan, N.C., Feinglass, J., Priyanath, A., Haviley, C., Sorensen, A.V. and Venta, L.A. (2001) Measuring Satisfaction with Mammography Results Reporting. Journal of General Internal Medicine, 16, 157-162.

[25]   Pearlman, D.N., Rakowski, W., Clark, M.A., Ehrich, B., Rimer, B.K., Goldstein, M.G., et al. (1997) Why Do Women’s Attitudes toward Mammography Change over Time? Implications for Physician-Patient Communication. Cancer Epidemiology: Biomarkers and Prevention, 6, 451-457.