Table 1 Main points of agreement in deliberations from health professionals for the implementation of PERSPECTIVE

Consider the harms and benefits of screening for women with low and high risk and the feasibility of tests for the general population. The decision to introduce the program needs to be based on strong evidence that benefits are greater than the harms.

Provide justification of the value (cost-benefit) of population-wide screening.

Ensure implementation of a centralized program that involves dedicated personnel to communicate tests results, provide psychosocial support, and organize proper referrals and follow-up for those who undergo screening.

Ensure that all the recommended tests are covered by public system or health insurance.

Define the concepts of “breast cancer diagnosis” and “risk for breast cancer” and clearly explain the difference between them.

Integrate the calculator into EMRs and, if possible, have the information auto-populate the fields, with prompts for additional information.

Prepare the socio-political environment and education support. Troubleshooting and constant feedback are required to improve the process.