Quality assured implementation of the Slovenian breast cancer screening programme.
<h4>Setting</h4>The organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50-69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for q...
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oai:doaj.org-article:860a0edec13b494a944d421ea8c35edb2021-12-02T20:17:09ZQuality assured implementation of the Slovenian breast cancer screening programme.1932-620310.1371/journal.pone.0258343https://doaj.org/article/860a0edec13b494a944d421ea8c35edb2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258343https://doaj.org/toc/1932-6203<h4>Setting</h4>The organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50-69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for quality assurance in breast cancer screening and diagnosis (4th edition), including centralized assessment, training and supervision, and proactive monitoring of performance indicators. This report describes the progress of implementation and rollout from 2003 through 2019.<h4>Methods</h4>The screening protocol and key quality assurance procedures initiated during the planning from 2003 and rollout from 2008 of the screening programme, including training of the professional staff, are described. The organisational structure, gradual geographical rollout, and coverage by invitation and examination are presented.<h4>Results</h4>The nationwide programme was up and running in all screening regions by the end of 2017, at which time the nationwide coverage by invitation and examination had reached 70% and 50%, respectively. Nationwide rollout of the population-based programme was complete by the end of 2019. By this time, coverage by invitation and examination had reached 98% and 76%, respectively. The participation rates consistently exceeded 70% from 2014 to 2019.<h4>Conclusions</h4>The successful implementation of the screening programme can be attributed to an independent central management, external guidance, and strict adherence to quality assurance procedures, all of which contributed to increasing governmental and popular support. The benefits of quality assurance have influenced all aspects of breast care and have provided a successful model for multidisciplinary management of other diseases.Katja JarmMaksimiljan KadivecCveto ŠvalKristijana HertlMaja Primic ŽakeljPeter B DeanLawrence von KarsaJanez ŽgajnarBarbara GazićVeronika KutnarUrban ZdešarMateja Kurir BorovčićVesna ZadnikIgor JosipovićMateja KrajcPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258343 (2021) |
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Medicine R Science Q Katja Jarm Maksimiljan Kadivec Cveto Šval Kristijana Hertl Maja Primic Žakelj Peter B Dean Lawrence von Karsa Janez Žgajnar Barbara Gazić Veronika Kutnar Urban Zdešar Mateja Kurir Borovčić Vesna Zadnik Igor Josipović Mateja Krajc Quality assured implementation of the Slovenian breast cancer screening programme. |
| description |
<h4>Setting</h4>The organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50-69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for quality assurance in breast cancer screening and diagnosis (4th edition), including centralized assessment, training and supervision, and proactive monitoring of performance indicators. This report describes the progress of implementation and rollout from 2003 through 2019.<h4>Methods</h4>The screening protocol and key quality assurance procedures initiated during the planning from 2003 and rollout from 2008 of the screening programme, including training of the professional staff, are described. The organisational structure, gradual geographical rollout, and coverage by invitation and examination are presented.<h4>Results</h4>The nationwide programme was up and running in all screening regions by the end of 2017, at which time the nationwide coverage by invitation and examination had reached 70% and 50%, respectively. Nationwide rollout of the population-based programme was complete by the end of 2019. By this time, coverage by invitation and examination had reached 98% and 76%, respectively. The participation rates consistently exceeded 70% from 2014 to 2019.<h4>Conclusions</h4>The successful implementation of the screening programme can be attributed to an independent central management, external guidance, and strict adherence to quality assurance procedures, all of which contributed to increasing governmental and popular support. The benefits of quality assurance have influenced all aspects of breast care and have provided a successful model for multidisciplinary management of other diseases. |
| format |
article |
| author |
Katja Jarm Maksimiljan Kadivec Cveto Šval Kristijana Hertl Maja Primic Žakelj Peter B Dean Lawrence von Karsa Janez Žgajnar Barbara Gazić Veronika Kutnar Urban Zdešar Mateja Kurir Borovčić Vesna Zadnik Igor Josipović Mateja Krajc |
| author_facet |
Katja Jarm Maksimiljan Kadivec Cveto Šval Kristijana Hertl Maja Primic Žakelj Peter B Dean Lawrence von Karsa Janez Žgajnar Barbara Gazić Veronika Kutnar Urban Zdešar Mateja Kurir Borovčić Vesna Zadnik Igor Josipović Mateja Krajc |
| author_sort |
Katja Jarm |
| title |
Quality assured implementation of the Slovenian breast cancer screening programme. |
| title_short |
Quality assured implementation of the Slovenian breast cancer screening programme. |
| title_full |
Quality assured implementation of the Slovenian breast cancer screening programme. |
| title_fullStr |
Quality assured implementation of the Slovenian breast cancer screening programme. |
| title_full_unstemmed |
Quality assured implementation of the Slovenian breast cancer screening programme. |
| title_sort |
quality assured implementation of the slovenian breast cancer screening programme. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/860a0edec13b494a944d421ea8c35edb |
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