Data Dictionary: Guide: Screening programmes: a short guide. Increase effectiveness, maximize benefits and minimize harm

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Contents:

Aims of screening programmes

Wilson & Jungner’s principles of screening

Screening programmes as pathways

• Measuring test performance

Understanding how screening tests work in practice

• Measuring outcomes from screening programmes

Benefits and harm of screening

• Benefits
• Maximizing the benefits of screening programmes
• Harm
• Understanding harm

Balancing benefits and harm

• How are benefits and harm compared?
• Who benefits?
• Does the context affect the balance between harm and benefits?
• Ethics of screening

Deciding whether to start or stop a screening programme

• Leading the process
• Recognizing different interests
• Is screening the answer?
• What does the evidence say?
• Modelling numbers and costs
• Using criteria to guide decision-making
• Pilot testing

Designing effective screening programmes

• Types of screening
• Multiple screening tests carried out at the same time

Operational readiness

• Leadership, coordination and management
• Constructing a pathway
• Trained personnel
• Information systems
• Funding
• Health system capacity
• Information and communication

Operating a screening programme

• Ensuring that screening programmes deliver the anticipated benefits
• Quality assurance systems
• Improving participation

Monitoring and evaluation

• Measures of screening programme performance