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1.  Knowledge and attitudes of primary healthcare patients regarding population-based screening for colorectal cancer 
BMC Cancer  2011;11:408.
Background
The aim of this study was to assess the extent of knowledge of primary health care (PHC) patients about colorectal cancer (CRC), their attitudes toward population-based screening for this disease and gender differences in these respects.
Methods
A questionnaire-based survey of PHC patients in the Balearic Islands and some districts of the metropolitan area of Barcelona was conducted. Individuals between 50 and 69 years of age with no history of CRC were interviewed at their PHC centers.
Results
We analyzed the results of 625 questionnaires, 58% of which were completed by women. Most patients believed that cancer diagnosis before symptom onset improved the chance of survival. More women than men knew the main symptoms of CRC. A total of 88.8% of patients reported that they would perform the fecal occult blood test (FOBT) for CRC screening if so requested by PHC doctors or nurses. If the FOBT was positive and a colonoscopy was offered, 84.9% of participants indicated that they would undergo the procedure, and no significant difference by gender was apparent. Fear of having cancer was the main reason for performance of an FOBT, and also for not performing the FOBT, especially in women. Fear of pain was the main reason for not wishing to undergo colonoscopy. Factors associated with reluctance to perform the FOBT were: (i) the idea that that many forms of cancer can be prevented by exercise and, (ii) a reluctance to undergo colonoscopy if an FOBT was positive. Factors associated with reluctance to undergo colonoscopy were: (i) residence in Barcelona, (ii) ignorance of the fact that early diagnosis of CRC is associated with better prognosis, (iii) no previous history of colonoscopy, and (iv) no intention to perform the FOBT for CRC screening.
Conclusion
We identified gaps in knowledge about CRC and prevention thereof in PHC patients from the Balearic Islands and the Barcelona region of Spain. If fears about CRC screening, and CRC per se, are addressed, and if it is emphasized that CRC is preventable, participation in CRC screening programs may improve.
doi:10.1186/1471-2407-11-408
PMCID: PMC3190390  PMID: 21942990
Colorectal neoplasm; population-based screening; fecal occult blood test; primary healthcare; attitude; knowledge
2.  EURHOMAP: mapping professional home care in Europe 
Introduction
Not only is there no comparable information on home care available from the newest EU member states, but information from the other 15 is old. Furthermore, as European countries have implemented health care reforms over the past decade, updating is needed.
Description of policy practice
The EURHOMAP project (Mapping professional home care in Europe) aims to describe and compare the organisation and provision of home care (health and social) services through the gathering, analysing and disseminating of information on various aspects of home care services in 32 European countries.
Discussion/Conclusions
Data collection will be done firstly with vignettes, descriptions of cases of elderly or disabled people in need of care living at home, and secondly with a collection table including data and selected home care items. Both instruments will be handled by experts. Comparison of the two instruments will show the diversity of home care in Europe: different roles of home care in European health care systems, variations in financing and provision, links with other sectors of health care and social services, and type of patient needs and demands to which home care is responding.
PMCID: PMC2707527
home care services; ageing; health and social policies; organization

Results 1-2 (2)