Table 4 Participant quotes of perceived facilitators to colorectal cancer screening
| Code | Informant | Quote |
|---|---|---|
| Health policy level | ||
| Appropriate communication campaigns | Endoscopy unit medical personnel | I think that if you educate people, and the program is promoted through radio, television, newspapers, if the information is appropriate and concrete, talking about a general population, this could help get more people to accept the procedure. |
| Social context level | ||
| Participative population | Primary health care personnel: social worker | I believe that this population is participative, if you ask for their support, and offer a service, they organize themselves and they participate. |
| Organizational level (health services) | ||
| Doctor communication skills | Primary health care personnel: doctor | Well, there are certain skills a doctor should have: empathy, the power of communication so that there is no barrier with the patient, the skill to talk with the patient and to be persuasive. |
| Good experiences of health service use | Female lay participant | I have been very lucky because I have always been treated very well in social security, there my daughters were born, my husband has had several surgeries, in fact, I have run with luck that my family doctor identified myself |
| Good working environment | Primary health care personnel: nurse | I have felt very good here, the work environment is very good, all my colleagues focus on their work and everyone is in charge of doing their part, the atmosphere is very good |
| CRC screening promotion at clinics | Primary health care personnel: nurse | The promotion could be made in the health center, there could be an exclusive module for this, so that patients are given exclusive attention. |
| Good doctor-patient relationship | Female lay participant | I have been very lucky with the attention I have received at IMSS. I delivered my daughters there and my husband has had several surgeries, and they treated us very well, in fact, I have been lucky. My family doctor knows who I am, even though they treat many patients and usually they don’t know the patients’ names, my doctor recognizes me and we have a good doctor-patient relationship. |
| Motivated health care personnel | Primary health care personnel: doctor | Having that kind of patients motivates us to keep working, reading, studying and everything, because many things or diseases that we, or I personally did not think where so common, but actually are, I think it is important to go back and study them, that motivates me. |
| Interpersonal level | ||
| Social Support | Female lay participant | And the family sometimes encourage you, family support is important to encourage you |
| Knowing someone who had cancer | Male lay participant | I have a testimony from a friend who died 1 year ago. He was feeling ill, they say the body gives warnings, but sometimes that is not so, or we don’t give these warnings importance. With my friend, I don’t know how long he felt ill for, but by the time he sought medical care, they found he had advanced stomach cancer. |
| Individual level | ||
| CRC information | Male lay participant |
Well, I think this is very important, just like right now with the information and attention we are getting from you. I think that people would be motivated if they hear this information and think it is important that they get the test to know if they have something, right? |
| Interest towards health | Primary health care personnel: social worker | I believe that the interest in their health is very important, the interest in their health would be a patient’s strength. |
| Perception of FIT as easy to do | Female lay participant | The test is not difficult to do, I can do it by myself and nobody will know, nobody will notice. I take my test where I have to and done. |
| Information on FIT test benefits | Female lay participant | It is a very, very effective and necessary test. If people don’t know that there is such a test, they cannot prevent cancer. |
| Perceived risk of CRC | Female lay participant | Anyone can get this illness, anyone can get sick, right? I do not know the reasons for this, sometimes there is no reason and people get cancer, so if we have the opportunity to get information about the disease, well, it is good to know what is happening. |
| Previous experiences with serious diseases | Male lay participant | After what I already suffered with a disease that I had in the past, the truth is that I would do the colonoscopy. |