10.8 - Considerations in the Establishment of Screening Recommendations and Programs

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To summarize, all of the following will be considered when making decisions about screening programs or guidelines. Are these factors considered in the ongoing discussions about mammography guidelines?.

Patient/Community/Population Considerations

  • Acceptability/desirability by patient and community
  • Historical precedent for screening
  • Sufficient burden of disease

Epidemiological/Medical Considerations

  • Different populations have a distinct and different distribution of disease
  • Natural history of disease supports early detection
  • Availability of ‘adequate’ screening tests
  • Availability of and compliance with ‘effective’ treatment and follow up
  • Acceptability by provider and health care system

Resource Considerations

  • Will of the political and health care system
  • Availability of resources - funds, services, transportation,…
  • Cost-effectiveness of screening

You have completed reading Lesson 10. You are now ready to participate in the activities indicated for Week 10.