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Screening Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)

Screening By Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)

Screening by Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)

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£5.86
New RRP £52.00
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Summary

Screening is the routine testing of populations to identify individuals who may have a particular medical condition or disease. This book covers the theory and evidence behind screening, and serves as a practical, non-technical introduction to the subject, for public health practitioners involved in all aspects of screening.

Screening Summary

Screening: Evidence and practice by Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)

Screening is the routine testing of populations to identify individuals who may have a particular medical condition or disease. It is carried out by both government and private organisations with the aims of: better prognosis/outcome for individuals; to protect society from contagious disease; to allow rational allocation of resources; to allow selection of healthy individuals; and for research purposes. About GBP500 million is spent on screening each year in Britain alone, and it is an issue that has relevance in health systems and for the general public and media. For many years, screening was practised without debate, but in the 1960s serious challenges were raised about standard screening procedures. Benefits of screening must be judged against negative side-effects, and concern was raised about potential and actual harm arising when people without a health problem received dangerous and unnecessary investigations and treatments as a result of 'routine' screening tests. Controversy raged and only now 50 years later, is there widespread recognition that quality assured service delivery and proper consumer information are essential. In addition to debate over health risks, the cost-effectiveness of such results also has to be considered, making this a highly contested issue. This book serves as a non-technical, introductory guide to all aspects of screening. The first section deals with concepts, methodology and evidence, explaining what screening is and how to evaluate it. The second section describes practical management, for example how to make policy and how to deliver it to a high quality. It includes many examples and case histories, a glossary to make medical terms accessible to the non-medic, and each chapter concludes with a summary and self-test questions. Although reference is made to the UK NHS, a world leader in screening, the book remains internationally relevant as the principles, knowledge and skills of screening are applicable in any setting. The controversies, paradoxes, uncertainties and ethical dilemmas of screening are explained in a balanced way. Muir Gray and Angela Raffle have been at the forefront of achieving improvements in screening over recent years, and they bring their wealth of experience to this essential text.

Screening Reviews

In this book as a whole, Raffle and Gray present sophisticated material in a readable format with a mix of the necessary research methodology, frequent, detailed and often engrossing case studies, and extensive practical guidance for those involved in the commissioning and implementation of screening programmes. International Journal of Epidemiology This book brings together a view on screening from world renowned authorities. It is written in clear text with straightforward explanations of what can often be dry turgid subjects. BMA 2008 medical book awards 'A readable, yet encyclopaedic guide to screening: its history, its key design elements, its implementation and its policy challenges... A must read for clinicians, managers, and policy makers who would like to assist Raffle and Gray in achieving their goal: to sort out the mess.' H Gilbert Welch, 'The more interested you are in new technologies for health screening, the more you need to read this book...By reading this book, you will then understand the unstoppable nature of screening, and the obligation to seek for research-based and controlled optimum clinical practice for early detection in high-risk persons.' Jan Willem Coebergh, 'Whilst gently guiding the novice into this fascinating and difficult area, this unique book further manages to add to the knowledge base of more seasoned health professionals by the in-depth coverage of the subject matter and the detailed analysis of the failures and successes of the past, both within the UK and further afield.' From the Foreward by Sir Liam Donaldson,

About Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)

Sir Muir Gray has been the driving force behind the transformation of screening in the UK. In the 1980s he secured GBP25,000 from the Department of Health to resolve the problematic cervical screening programme by harnessing the experience and commitment of pathologists, public health physicians, and gynaecologists throughout the service he transformed it into the quality assured public health programme it is today. Muir also masterminded the implementation of a nationwide breast screening programme. He then turned his attention to wider screening, setting up the National Screening Programmes which brought evidence, order and effectiveness to a disparate set of public health risk reduction programmes. Muir has also established the National Library for Health, been instrumental in helping establish the Cochrane Collaboration, and has brought accessible evidence-based information to the fingertips and desktops of all clinicians by publications such as Clinical Evidence. Dr Angela Raffle became involved in screening in 1985 when she took on responsibility for the cervical screening programme in and around Bristol and Bath. Working with Dr Elisabeth Mackenzie, she analysed the screening records for the 250,000 women in the programme. The results were worrying, demonstrating the scale of overdetection and overtreatment inherent in cervical screening. She articulated her findings, not as a polemicist from outside the programme, but as a professional involved in screening, committed to serving the women who participated. Angela became part of the National Coordinating Network, has worked on a wide range of screening policy issues for the National Screening Programmes, and has continued her commitment to teaching nationally and internationally. In Bristol she is responsible for all aspects of cancer services including the cancer screening programmes. She has also been a major player in the Smoke-free Bristol campaign and palliative care services at the end of life.

Table of Contents

1. How screening started ; 2. What screening is, and is not ; 3. What screening does ; 4. Measuring what screening does ; 5. Implementing screening ; 6. Quality assuring screening programmes ; 7. Day to day management of screening for public health practitioners and programme managers ; 8. Making screening policy

Additional information

GOR007806212
9780199214495
0199214492
Screening: Evidence and practice by Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)
Angela E Raffle (Consultant in Public Health, Bristol Primary Care Trust and the National Screening Programmes Honorary Senior Lecturer, University of Bristol Department of Social Medicine, UK)
Used - Good
Paperback
Oxford University Press
2007-09-06
334
N/A
Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in good condition, but if you are not entirely satisfied please get in touch with us

Customer Reviews - Screening