{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T03:28:03Z","timestamp":1791689283839,"version":"4.3.4"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100011851","name":"Kom op tegen Kanker","doi-asserted-by":"publisher","award":["12343"],"award-info":[{"award-number":["12343"]}],"id":[{"id":"10.13039\/501100011851","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013326","name":"Universitaire Stichting","doi-asserted-by":"publisher","award":["WA-0563"],"award-info":[{"award-number":["WA-0563"]}],"id":[{"id":"10.13039\/100013326","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Screening coverage for cervical cancer remains suboptimal in Flanders, Belgium. The upcoming transition to primary HPV screening in January 2025 presents an opportunity to offer self-sampling kits (SSKs) as an alternative to conventional Pap smears, with the potential to increase participation rates. General practitioners (GPs) can play a crucial role in reaching under-screened populations. Hereto it is essential to understand the needs and preferences of GPs regarding the integration of SSKs into their routine practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with GPs participating in an implementation study on the added value of SSKs for long-term non-screened women, focusing on their experiences, challenges, and suggestions regarding the provision of SSKs to these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The interviewed GPs recognized the potential of SSKs to increase participation, particularly due to their less invasive nature, which makes them more acceptable to underscreened women. Time constraints, technical software challenges, limited knowledge and doubt about SSK accuracy were identified as key barriers to implement SSKs in routine practice. GPs emphasized the need for adaptability in the distribution methods of SSKs, with many preferring a combination of mailing the SSKs and providing them in person. Personalized communication and tailored explanations were considered as crucial to ensure patient acceptance and the correct use of the tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study shows that while GPs recognize the potential of SSKs to enhance cervical cancer screening, several challenges need to be addressed for their effective integration into primary care. A successful approach should incorporate streamlined support systems, tailored approaches to implement reminders for GPs and improved education for GPs. Future research should consider quantitative data on the effectiveness and cost-efficiency of SSKs in the specific context of Flanders and the perspectives of a broader range of stakeholders, including patients, practice nurses, gynecologists and policymakers, to develop more comprehensive strategies for the successful implementation of SSKs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251320178","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:53:59Z","timestamp":1742950439000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["General Practitioners\u2019 Needs and Preferences Regarding the Provision of Self-sampling Tests for Cervical Cancer Screening in Flanders, Belgium"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2821-9648","authenticated-orcid":false,"given":"Eva","family":"Gezels","sequence":"first","affiliation":[{"name":"Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Willems","sequence":"additional","affiliation":[{"name":"Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrien","family":"Vanthomme","sequence":"additional","affiliation":[{"name":"Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lien","family":"Keersse","sequence":"additional","affiliation":[{"name":"Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaatje","family":"Van Roy","sequence":"additional","affiliation":[{"name":"Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem. World Health Organization; 2020. Accessed October 18 2024. http:\/\/apps.who.int\/bookorders"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62218-7"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2009.07.018"},{"key":"e_1_3_3_5_2","volume-title":"Jaarrapport 2022","author":"Centre for Cancer Detection","year":"2023","unstructured":"Centre for Cancer Detection. Jaarrapport 2022. Centre for Cancer Detection; 2023."},{"key":"e_1_3_3_6_2","unstructured":"Centre for Cancer Detection. Jaarfiche 2023. 2023. Accessed January 6 2025. https:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/https:\/\/borstkanker.bevolkingsonderzoek.be\/sites\/default\/files\/2023-12\/Jaarfiche%202023.pdf"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/IJERPH18147248"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2021.1918690"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/S12939-021-01548-6"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00038-017-1045-7\/TABLES\/4"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00077"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32826"},{"key":"e_1_3_3_13_2","unstructured":"European Commission. Europe\u2019s Beating Cancer Plan: Communication from the Commission to the European Parliament and the Council. European Commission; 2021. Accessed October 22 2024. https:\/\/ec.europa.eu\/commission\/presscorner\/detail\/en\/ip_21_342"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.06.095"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70570-9"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2016-052609"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003743"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.34358"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969141316664757"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-1170-x"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-062823"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13272"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0811-5"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2018.1523986"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423623000191"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2024.107617"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_29_2","volume-title":"Handboek Kwalitatieve Onderzoeksmethoden","author":"Mortelmans D.","year":"2013","unstructured":"Mortelmans D. Handboek Kwalitatieve Onderzoeksmethoden. 4th edn. Acco; 2013.","edition":"4"},{"key":"e_1_3_3_30_2","unstructured":"Centrum voor Kankeropsporing. Nieuwsbrief Bevolking-sonderzoek Baarmoederhalskanker: Het Bevolkingsonderzoek Baarmoederhalskanker zal veranderen in 2024. Centrum voor Kankeropsporing; 2023."},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1071\/HC23038"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423623000713"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103684"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2024.102599"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15215163"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.12688\/hrbopenres.13246.1"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.5965"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2022.2139481"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00382-3"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-022-02094-w"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-021-00667-4"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12171704"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319251320178","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319251320178","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319251320178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:23:03Z","timestamp":1777508583000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319251320178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,25]]},"references-count":41,"alternative-id":["10.1177\/21501319251320178"],"URL":"https:\/\/doi.org\/10.1177\/21501319251320178","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,25]]},"article-number":"21501319251320178"}}