Screening: Evidence and practice by Angela E RaffleScreening: Evidence and practice by Angela E Raffle

Screening: Evidence and practice

byAngela E Raffle, J. A. Muir Gray

Paperback | October 15, 2007

Pricing and Purchase Info

$45.57 online 
$86.00 list price save 47%
Earn 228 plum® points

Prices and offers may vary in store


Ships within 1-3 weeks

Ships free on orders over $25

Not available in stores


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 L500 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 healthproblem 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 debateover 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 todeliver 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 remainsinternationally 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 improvementsin screening over recent years, and they bring their wealth of experience to this essential text.
Sir Muir Gray has been the driving force behind the transformation of screening in the UK. In the 1980s he secured L25,000 from the Department of Health to resolve the problematic cervical screening programme; by harnessing the experience and commitment of pathologists, public health physicians, and gynaecologists throughout the servi...
Title:Screening: Evidence and practiceFormat:PaperbackDimensions:336 pages, 8.5 × 5.43 × 0.79 inPublished:October 15, 2007Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199214492

ISBN - 13:9780199214495

Look for similar items by category:


Table of Contents

1. How screening started2. What screening is, and is not3. What screening does4. Measuring what screening does5. Implementing screening6. Quality assuring screening programmes7. Day to day management of screening for public health practitioners and programme managers8. Making screening policy