The legal framework for European cervical cancer screening programmes.

Background A comprehensive legal framework needs to be developed to run the health services and to regulate the information systems required to manage and to ensure the quality of cancer screening programmes. The aim of our study was to document and to compare the status of legal basis for cervical...

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Publicado en:European Journal of Public Health Vol. 29; no. 2; pp. 345 - 351
Autores principales: Májek, Ondřej, Anttila, Ahti, Arbyn, Marc, Veen, Evert-Ben van, Engesæter, Birgit, Lönnberg, Stefan
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2019
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      pub: Oxford University Press / USA
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        10.1093/eurpub/cky200
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        atl: The legal framework for European cervical cancer screening programmes.
      aug:
        au:
          Májek, Ondřej
          Anttila, Ahti
          Arbyn, Marc
          Veen, Evert-Ben van
          Engesæter, Birgit
          Lönnberg, Stefan
        affil: Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech RepublicInstitute of Health Information and Statistics, Praha 2, Czech Republic
      sug:
        subj:
          Cervix Neoplasms Diagnosis
          Cancer Screening Legislation and Jurisprudence
          Conceptual Framework
          Human
          Europe
          Questionnaires
          Decision Making, Clinical
          Medical Record Linkage
          Registries, Disease
          Quality Assurance
      ab: Background A comprehensive legal framework needs to be developed to run the health services and to regulate the information systems required to manage and to ensure the quality of cancer screening programmes. The aim of our study was to document and to compare the status of legal basis for cervical screening registration in European countries. Methods An electronic questionnaire including questions on governance, decision-making structures and legal framework was developed. The primary responses were collected by September 2016. Results We sent the questionnaire to representatives of 35 European countries (28 countries of the EU, with the United Kingdom included as 4 countries; 4 EFTA member countries: Iceland, Liechtenstein, Norway, and Switzerland); responses were collected from 33 countries. The legal framework makes it possible to personally invite individuals in 29 countries (88%). Systematic screening registration in an electronic registry is legally enshrined in 23 countries (70%). Individual linkage of records between screening and cancer registries is allowed in 19 of those countries. Linkage studies involving cancer and screening registries have been conducted in 15 countries. Conclusion Although the majority of EU/EFTA countries have implemented population-based screening, only half of them have successfully performed record linkage studies, which are nevertheless a key recommendation for quality assurance of the entire screening process. The European legislation is open to the possibility of using health data for these purposes; however, member states themselves must recognize the public interest to create a legal basis, which would enable all the necessary functions for high-quality cancer screening programmes.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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