[Prospective view concerning organization of breast cancer screening in France]

Development of an organized cancer screening is today an essential axis of Public Health. Successive sequences are the test, the experience and the generalization. There are three principles for this generalization: 1. transparence with a specific act coding; 2. selectivity to assure the quality at each stage of this process; 3. responsibility on both professionals and policy holder levels. A such organization can only find its reasons in: 1. a legislative text who sets a very strict frame in accordance with regulations with a specific list and therefore differed for the act itself; 2. professionals and structures approved for organized screening acts, covered at 100%. The regional level will certainly be at the center of this system. Three authorities are marked out for playing significant role: the Regional Direction of Sanitary and Social Action, the Regional Union of Sickness Insurance Funds and the Regional Union of Liberal Physicians. If those measures and this organization might improve the quality of screening acts, they would be for the major part ineffective if they don't allow to get back to women who today escape, for the major part, this prevention process. They are essentially persons aged of 55 years old and over and the most deprived public. In this prospect, the general practitioner must play an essential role in a same time to go back to those public and ease an open to a dialogue around screening.