Academic Journal
Expanding eligibility and improving quality of cervical cancer screening in Estonia: The 2021 reforms.
| العنوان: | Expanding eligibility and improving quality of cervical cancer screening in Estonia: The 2021 reforms. |
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| المؤلفون: | Rigby, Samuel, Greenley, Rachel, Uuskula, Anneli, Tisler, Anna, Suurna, Maria, Jesse, Maris, Bardou, Marc, McKee, Martin, CBIG-SCREEN Consortium |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2024 |
| المجموعة: | London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| الوصف: | Estonia has one of the highest death rates from cervical cancer in the European Union despite having had a population-based screening programme for over 15 years. In 2021, this high disease burden, alongside a new national cancer prevention plan, prompted a series of cervical cancer screening programme reforms to address low screening uptake and evidence of variable screening test quality. The reforms had three main elements: expansion of eligibility to all women aged 30-65 regardless of insurance status; increasing test provision by enabling family physicians to take screening samples and introducing self-sampling; and improving testing procedures, replacing cytology with HPV testing as the primary screening test. Although the impact of these changes is yet to be seen, early signs suggest increased programme participation. However, at 51 %, further action to address barriers to uptake will likely be necessary. If Estonia is to avoid another period of policy dormancy, as happened between 2006 and 2021, greater clarity on screening programme accountability is required. The establishment of the National Cancer Screening Group may enable this. The first test will be the delivery of an end-to-end evaluation of the reformed programme, with an emphasis on equity of access. The next step will be to develop and deliver solutions that respond to these needs. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| Relation: | https://researchonline.lshtm.ac.uk/id/eprint/4672485/1/P1501%20Cervical%20screening%20Estonia.pdf; Rigby, Samuel; Greenley, Rachel; Uuskula, Anneli; Tisler, Anna; Suurna, Maria; Jesse, Maris; Bardou, Marc; McKee, Martin; CBIG-SCREEN Consortium; (2024) Expanding eligibility and improving quality of cervical cancer screening in Estonia: The 2021 reforms. Health Policy, 144. 105077-. ISSN 0168-8510 DOI: https://doi.org/10.1016/j.healthpol.2024.105077 |
| DOI: | 10.1016/j.healthpol.2024.105077 |
| الاتاحة: | https://researchonline.lshtm.ac.uk/id/eprint/4672485/ https://researchonline.lshtm.ac.uk/id/eprint/4672485/1/P1501%20Cervical%20screening%20Estonia.pdf https://doi.org/10.1016/j.healthpol.2024.105077 |
| Rights: | cc_by_4 |
| رقم الانضمام: | edsbas.5C7EAD64 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.healthpol.2024.105077 |
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