| Author/Editor | Premik, Marjan | |
| Title | Vrednotenje presejalnih programov | |
| Translated title | Screening programme evaluation | |
| Type | članek | |
| Source | Zdrav Vars | |
| Vol. and No. | Letnik 37, št. 11-12 | |
| Publication year | 1998 | |
| Volume | str. 442-6 | |
| Language | slo | |
| Abstract | Screening programmes are important medical tools for an early detection of hidden diseases and defects, but only if the are carefully weighed up against possible advantages or disadvatages. The implementation of screening programmes in national health preventive programmes requires a thorough evaluation their benefits. The validation of each screening programme has to contain an estimation of their conformity to the principles of WHO and to the recommendations of Council of Europe about screening programmes as well as an evaluation regarding their health efficiency and economic efficacy. Health (selection of quality parameters concerning reproductivity, sensibility, specificity, the predictive value) ad economic (CBA, CEA, CUA) analyses have to be accompanied also by considerations about possible ethical and psychological consequences and by a plan of an educational, informational, organisational and financial support for the proposed screening programme. As a rule, the implementation of a new screening programme has to be approved by a competent national body (an unbiased multidisciplinary board), which also supervises the execution of accepted and standardized programmes. | |
| Summary | Presejalni programi so pomembno medicinsko orodje za zgodnje odkrivanje skritih bolezni ali hib, vendar samo, če so dobro pretehtani glede na možne dobre in slabe posledice. Uvajanje presajalnih programov v narcionalne zdravstvene preventivne programe zahteva njihovo temeljito ovrednotenje. Utemeljitev vsakega presajalnega programa mora vsebovati oceno usklajenosti z zahtevami Svetovne zdravstvene organizacije in priporočil Sveta Evrope o presejalnih programih skupaj z ovrednoteno oceno glede na njihovo zdravstveno učinkovitost in ekonomsko upravičenost. Zdravstveno (izbor kakovostnih parametrov glede na ponovljivost, občutljivost, specifičnost, napovedno vrednost) in ekonomsko (CBA, CEA, CUA) analizo morajo spremljati še ugotovitve o možnih etičnih in psiholoških posledicah ter načrt edukacijske, informacijske, organizacijske in finančne podpore predlaganemu presejalnemu programu. Praviloma mora uvedbo novega presajalnega programa odobriti pristojno nacionalno telo (nepristranska večdisciplinarna komisija), ki opravlja tudi nadzor nad izvajanjem sprejetih in standardiziranih programov. | |
| Descriptors | MASS SCREENING PROGRAM EVALUATION PREVENTIVE MEDICINE SENSITIVITY AND SPECIFICITY |