159 Perceptions and beliefs of GPs on the CSPs Supplementary Table 1. Quotes resulting from the interviews (n=5) (continued) Topic Number GP Quote Q11 III I am not responsible for ensuring people to participate. There also should not be any pressure either. If there would be any pressure, GPs will immediate quit cooperating. Q12 IV I call patients myself when I am informed on a positive screening outcome. A (practice-based) nurse could also do this, but it is nice to take the lead in this as GP. It is an important outcome after all. I also like doing this. As a GP, you have a relationship of trust. It is about important things and it is really nice for patients to discuss this with someone they know. That familiar face just helps. Q13 IV Whether people participate or not, therefore I am certainly not responsible. That is an individual choice. But as soon as there is a positive outcome and thing needs to be done (referral, guidance etc.), it also becomes a responsibility of the GP. Q14 V We cannot afford, doing nothing in terms of prevention. Q15 V Of course prevention is part of a GP’s job. In fact, it should be part of every consultation. Q16 V I personally think discussing the CSPs is important. Mostly I recommend patients to participate in the CSPs. I also use this topic to talk about sexual health, intimate topics etc. So for me, it serves as a starting point for several issues. Topic II Q17 I It is nice to know whether someone has, or has not, participated in the CSPs, including the screening outcomes. However, it remains a bit of a question what to do with this information. It would take a lot of energy if GPs had to start calling/inviting/motivating everyone who did not participate in the CSPs. On the other hand, it could make sense if the programmes really prove to be very effective, in terms of decreased cancer mortality. Q18 I Things are a bit complicated, as non-attender you have not been able to give consent, whether your GP is allowed to know your participation status. So regarding privacy legislation several things should be sorted out. Q19 II I do think I always want to know if a patient has a positive test. Especially when you are a practice owner and know your patients well. You can use this knowledge during your consultations. The context is very important and as a GP you can act on this. Q20 II I am not sure if I would want to know when someone did not participate. It remains a patient’s own choice. Knowing this can be perceived as intrusive. I think it is not right when a patient decides to not participate, the GP then gets this messages and then contacts the specific patient. Then it may no longer feel like a free choice, but much more like coercion. 6
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