title: [Non-compliance with having a colonoscopy as a follow up to a positive result in colorectal cancer screening: a qualitative study].
abstract: This qualitative study examines the motivations of people who had a positive result as part of the colorectal cancer screening programme, and who did not follow-up with further recommended tests; whereas good medical practice requires the a colonoscopy subsequent to a positive Hemoccult test. Twelve semi-directed interviews were conducted. The quality of the doctor - patient relationship strongly influences the acceptance of having a colonoscopy. This data highlights the necessary capacity of the doctor to convey a rational message while also taking into account the emotional turmoil provoked by the uncertainty and worry linked to receiving a first positive result in a cancer screening test. Working with the medical profession to advocate for a systematic colonoscopy as an essential follow-up to a positive Hemoccult test is critical. For many of these doctors, doing the Hemoccult test is regarded as the screening standard, but in their view a subsequent colonoscopy is not currently a part of this norm. Recommendations are proposed, aiming to improve the acceptance of the organized screening by the population.
authors.affiliation: URMEL (Union Régionale des Médecins Exerçant a titre Libéral) Nord, Pas-de-Calais, Lille, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: de Pauw
mesh_terms: D000368:Aged; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016312:Treatment Refusal