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<p>Implementing population-wide risk-stratified breast screening (RSBS) requires coordinated planning across diverse stakeholders and adaptation within complex healthcare systems. We convened a multi-stakeholder workshop with 34 policymakers, breast screening program leaders and healthcare professionals across Canada. Participants co-envisioned an RSBS program and focused on defining care pathways, the implementation roadmap, stakeholder engagement, and workforce training. A national, flexible RSBS strategy was proposed with multiple entry points and timings for risk assessment, interoperable information technology systems, phased roll-out, and an embedded learning healthcare system. The resulting actionable plans support RSBS implementation in Canada and offer transferable insights for planning RSBS in varied international settings.</p>

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Perspectives from a multi-stakeholder workshop for implementing a risk-stratified breast cancer screening program in Canada

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月21日

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  • Nareh Safieh-Garabedian,
  • Antonis C. Antoniou,
  • Jennifer Brooks,
  • June Carroll,
  • Mathias Cavaillé,
  • Jocelyne Chiquette,
  • MJ DeCoteau,
  • Gregory Doyle,
  • Andrea Eisen,
  • Laurence Eloy,
  • Samantha Feinberg,
  • Vivianne Freitas,
  • Kim Hender,
  • Supriya Kulkarni,
  • Cynthia Mbuya-Bienge,
  • Christine Molnar,
  • Hermann Nabi,
  • Caroline Samson,
  • Jean M. Seely,
  • Amanda J. Sheppard,
  • Penny Soucy,
  • Romeo Tagyen,
  • Isabelle Trop,
  • Annie Turgeon,
  • Marc Venturi,
  • Nancy Wadden,
  • Meghan Walker,
  • Michael Wolfson,
  • Anna Chiarelli,
  • Jacques Simard,
  • Nora Pashayan

摘要

Implementing population-wide risk-stratified breast screening (RSBS) requires coordinated planning across diverse stakeholders and adaptation within complex healthcare systems. We convened a multi-stakeholder workshop with 34 policymakers, breast screening program leaders and healthcare professionals across Canada. Participants co-envisioned an RSBS program and focused on defining care pathways, the implementation roadmap, stakeholder engagement, and workforce training. A national, flexible RSBS strategy was proposed with multiple entry points and timings for risk assessment, interoperable information technology systems, phased roll-out, and an embedded learning healthcare system. The resulting actionable plans support RSBS implementation in Canada and offer transferable insights for planning RSBS in varied international settings.