Risicogebaseerde kankerscreening: Een literatuuronderzoek naar opvattingen en behoeften van burgers en professionals

The Netherlands has three nationally organised screening programmes
for the early detection of colorectal, breast, and cervical cancer. Risk
stratification can be applied to improve the efficiency of these
programmes and the balance between the risks and benefits for citizens.
This involves inviting individuals for screening more or less frequently,
based on personal risk profiles. Support is vital to the successful
expansion and adequate implementation of such risk-based cancer
screening, both among the target population and the professionals
involved in the population screening.
This report sets out insights gleaned from a literature review of national
and international scientific research into the beliefs of citizens and
professionals about risk-based cancer screening and their
communication needs. The report also identifies interventions/materials
designed to support communication about risk-based screening.
The literature review reveals that the beliefs of citizens and
professionals about risk-based cancer screening are mainly positive.
They recognise the potential benefits of risk-based screening, such as a
better balance between risks and benefits, and greater efficiency.
However, citizens also have concerns about issues such as scientific
evidence, accuracy, emotional impact, and privacy. Professionals are
particularly concerned about the practical challenges of implementing
risk-based screening in healthcare systems.
Both citizens and professionals have a need for tailored, consistent,
scientifically grounded, and accessible communication and support.
Citizens with a lower socio-economic status or a migration background
need additional support, such as translated materials and tools to use
digital platforms effectively. Professionals need concrete guidelines and
technical tools to streamline the screening processes. They see
themselves playing a central role in risk-based screening, but indicate
that they can only perform this role effectively if they have the
necessary resources, training, and support.
The findings of this literature review can be used to develop
interventions to support professionals in the practical implementation of
risk-based screening, and to inform and support citizens to help them
make decisions.