Implementation of screening as a public health policy: issues in design and evaluation.

@article{Hakama1999ImplementationOS,
  title={Implementation of screening as a public health policy: issues in design and evaluation.},
  author={Matti Hakama and Eero I Pukkala and Bengt S{\"o}derman and Nick Day},
  journal={Journal of medical screening},
  year={1999},
  volume={6 4},
  pages={209-16}
}
OBJECTIVE To propose principles of design and measures of effect for cancer screening as a public health policy. MATERIAL Finnish routine screening programme with mammography. DESIGN Evaluation of mortality from breast cancer by before-after time trends among Finnish women, by geographical (by municipalities) comparisons, and by intention to screen at an individual level with individual controls who were cluster randomised and matched for age. OUTCOME MEASURES Standardised mortality… CONTINUE READING