Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination


The purpose of this study was to evaluate whether screening by clinical breast examination (CBE) inaddition to mammography affected participant satisfaction in the National Cancer Screening Program(NCSP). Data were derived from the Quality Evaluation of National Cancer Screening satisfaction survey.This population-based nationwide telephone survey included participants who had been screened by theNCSP for breast cancer between June and August 2010 (n=2,370), and collected information on satisfactionwith screening and screening service use. Five multiple regression models were used to determinesatisfaction according to screening method, and according to each of five satisfaction measures (prescreeninginformation transfer, staff interpersonal skills, physical surroundings, reporting of results andgeneral satisfaction). A total of 1,858 (78.4%) participants were screened by mammography alone and 512(21.6%) by both mammography and CBE. Satisfaction was significantly higher in subjects screened by bothmammography and CBE compared with those screened by mammography alone.