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Screening: Evidence and practice
 
 
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Screening: Evidence and practice [Paperback]

Angela E Raffle (Author), J. A. Muir Gray (Author)
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Angela E. Raffle
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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, )

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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 £500 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.
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4 of 4 people found the following review helpful
Format:Paperback
An excellent book. I am 2/3 of the way through. Screening can be a difficult area of health care - technically and ethically. This book describes pretty much every aspect of screening from operational management through to government policy (with everything in between). Techy language is minimised. The book offers an authoritative overview of all aspects of screening. Recomended for those involved in this area of health care anywhere
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