Despite the increasing trend in the incidence of breast cancer in recent decades, mortality has
decreased in developed countries. The general objective of the study is to analyse the functioning and
organisation of the care process for breast cancer treatment in Andalusia (Spain) in order to identify
possible barriers and facilitators that may be affecting its effectiveness and, therefore, the survival of
the disease. A qualitative method was adopted based on 19 semi-structured interviews with health
professionals from different specialities in two Andalusian provinces: Huelva (mortality rate higher
than the national average) and Granada (mortality rate similar to the national average). Results
show the existence of barriers (seasonal delays, low frequency of multidisciplinary meetings, lack of
human and technical resources, difficulties in accessing treatment in certain populations, etc.) and
facilitators (creation of multidisciplinary units and committees for breast pathology, standardisation
of treatments, assignment of professionals with preferential attention to breast pathology, etc.) in the
care process of breast cancer treatment. The combination of these barriers can have an impact on the
accessibility, quality, and efficacy of the treatment, and in the long term, on survival from the disease
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