Знания, комуникация с медицинските специалисти и нагласи за явяване на преглед сред граждани, подлежащи на онкологичен скрининг
Knowledge, communication with medical professionals and attitudes to medical examination among people subject to oncological screening

Summary/Abstract: Oncological screening is one of the measures to control cancer. The introduction of population-based screening programs can lead to a significant reduction in mortality and morbidity, if the quality criteria are met. In Bulgaria, screening is opportunistic, unsystematic and ineffective. Purpose: To explore the knowledge and attitudes for attending screening tests, among cervical, mammographic and colorectal screening subjects as well as their assessment of communication with medical professionals involved in cancer prevention in Bulgaria. Methods: 300 citizens over the age of 25 were interviewed, divided into three groups according to the screening location. The data were collected in May 2018 through standardized interviews at the respondents’ home. Results: The knowledge about screening tests among citizens is insufficient and varies greatly for different locations. Medical professionals do not provide sufficient information on the benefits and risks from screening tests. Among the citizens, positive attitudes to screening prevail, with the recommendation given from a doctor being preferred to the written invitation. Conclusion: Continuous efforts are needed to raise the information level and knowledge about screening studies, their nature and objectives. It is necessary to develop algorithms and guidelines for medical professionals conducting screening as well as unified documentation.

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