Thom Bongaerts

154 Chapter 6 important to screen those with the highest risk of developing the screening-specific tumours. Conclusion Our study indicated that the cancer screening programmes (CSPs) are a regular topic during consultation hours and that GPs judge this as a topic in which they like to stay involved. GPs are not eager to take on more logistical/organisational tasks but are willing to positively empower the CSPs and especially targeting subpopulations at highest risk. Several suggestions emerged from our study to further optimise the CSPs. A targeted proactive primary care approach was suggested as a desirable option. Abbreviations CRC: Colorectal Cancer; CSP: Cancer Screening Programme; ELAN: Extramural LUMC Academic Network; FIT: Faecal Immunochemical Test; GP: General Practitioner; RIVM: National Institute for Public Health and the Environment; SES: Socioeconomic Status; SP: Screening Programme; Q: Quotes; WHO: World Health Organization. Ethics approval and consent to participate Upfront, this study was approved by the Medical Research and Ethics Committee of the Leiden University Medical Centre (METC Leiden| Den Haag |Delft) (N21.040) and was conducted in accordance with the Declaration of Helsinki. All respondents and interviewees were informed about the aims of the study, its voluntary nature and anonymous data usage, before giving consent to participate. Prior to conducting the interviews informed consent was obtained of participating GPs. Consent for publication Not applicable. Data availability The datasets generated and/or analysed during the current study are not publicly available due to the size of the data and the qualitative nature of the data but are available in modified format from the corresponding author on reasonable request. Survey results are also available from the corresponding author upon reasonable request. Competing interests The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this study.

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