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Quebec breast cancer screening program: A study of the perceptions of physicians in Laval, Que
Canadian Family Physician, 06/15/09

Nguyen M-N et al. - This study suggests that medical practices, tools, and strategies for breast cancer screening in Laval are functional but need improvement.

The Quebec breast cancer screening program (QBCSP) was introduced in 1998 to facilitate early breast cancer screening using mammography. The program aims to reach and maintain a 70% participation rate, the estimated rate needed to improve mortality. In Laval, Que, however, the participation rate is between 42% and 46%.
This study used in-depth interviews to explore physicians perspectives on the QBCSP. Because screening and referral centres offered different services and other jurisdictions were often perceived to be more efficient, many physicians preferred to refer their patients to referral centres or to adjacent jurisdictions; this contributes to delays in appointment scheduling and prevents quality assurance and proper assessment of the QBCSP.
Participants also disagreed about when mammography and clinical breast examination should be started and about whether to teach breast self-examination; they generally did not follow guide-lines on these issues.