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Oral Health Assessment by Lay Personnel for Older Adults

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Health technology assessment and screening in Sweden.

E Jonsson¹, H D Banta, T Schersten

¹Swedish Council for Technology Assessment in Health Care, SBU.

International Journal of Technology Assessment in Health Care

|August 10, 2001

Summary

Sweden emphasizes evidence-based health technology assessment (HTA) for screening policies. Mammography screening is promoted, PSA screening is discouraged, and ultrasound in pregnancy is widely used despite limited evidence of mortality benefits.

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Area of Science:

Health Technology Assessment (HTA)
Public Health Policy
Preventive Medicine

Background:

Sweden prioritizes prevention in healthcare, with a strong emphasis on evidence-based practices.
Health Technology Assessment (HTA) plays a crucial role in shaping healthcare policies and clinical decisions in Sweden.
Government policy favors beneficial and cost-effective health services, including screening procedures.

Purpose of the Study:

To delineate health technology assessment (HTA) frameworks and policies in Sweden.
To examine the HTA and policy landscape for three specific screening procedures: mammography, prostate-specific antigen (PSA), and routine ultrasound in pregnancy.

Main Methods:

Analysis of reports from the Swedish Council for Technology Assessment in Health Care (SBU).
Review of relevant governmental reports and professional literature.
Case studies of mammography, PSA, and ultrasound screening assessments in Sweden.

Main Results:

Mammography screening is widely implemented and accessible.
Prostate-specific antigen (PSA) screening is officially discouraged but continues to be utilized beyond evidence-based recommendations.
Routine ultrasound in pregnancy is extensively used, driven by improved detection of fetal abnormalities and benefits in delivery management, rather than solely by mortality/morbidity data.

Conclusions:

Health technology assessment (HTA) is integral to Swedish health policy formulation.
Screening policies in Sweden are guided by evidence of benefit and cost-effectiveness, though practice variations exist (e.g., PSA screening).
The widespread use of ultrasound in pregnancy highlights the influence of factors beyond direct mortality/morbidity reduction in HTA and policy decisions.