The needs and expectations of people eligible for lung cancer screening in Switzerland: A mixed method study.

OBJECTIVE

Organized lung cancer screening is being considered in Switzerland. This study assesses knowledge, barriers, and expectations regarding screening among the population and healthcare professionals prior to a pilot project.

METHODS

A convergent, mixed method approach combined an online survey, focus groups and interviews with laypeople aged 50-79 years with a smoking history and healthcare professionals. Data were collected between June and August 2023 in the Canton of Vaud, Switzerland.

RESULTS

Among 952 survey respondents (79% women, 60% current or ex-smokers), 19% were aware of lung cancer screening, but 75% would participate if offered.Responders preferred information from general practitioners (72%) or official letters (46%). In qualitative interviews, the 24 participants emphasized clear, non-stigmatizing, emotionally engaging communication, accessible logistics, and supportive professional guidance. Eligibility criteria were often viewed as too restrictive.

CONCLUSIONS

The implementation of lung cancer screening in Switzerland will require a multichannel communication campaign, training and tools for healthcare professionals, and clear eligibility criteria using a pedagogical approach.