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Recommending organized screening programs for adults in Greece: a Delphi consensus study
Anastasios Skroumpelos1, Dimitris Zavras, Elpida Pavi
1National School of Public Health, Department of Health Economics, Athens, Greece. askroumpelos@esdy.edu.gr
Health Policy (Amsterdam, Netherlands)
|September 4, 2012
Summary
This study proposes organized screening programs for breast, cervical, and colorectal cancers, plus vascular conditions in Greece. Expert consensus supports these initiatives to improve public health and resource allocation.
Area of Science:
- Public Health
- Preventive Medicine
- Health Policy
Background:
- Greece currently lacks organized screening programs.
- There is a need to improve the health system's performance through evidence-based interventions.
Purpose of the Study:
- To propose a set of organized screening programs for Greece.
- To enhance the country's secondary prevention policy.
Main Methods:
- A comprehensive literature review identified suitable screening programs.
- The Delphi method was employed, involving a multi-professional expert panel for evaluation and recommendations.
- Kuder-Richardson 20 and Cronbach's alpha assessed internal consistency.
Main Results:
- Experts widely supported organized screening for breast, cervical, and colorectal cancers, abdominal aortic aneurysms, and vascular risk assessment.
- Disagreements were noted regarding age-specific target groups for colorectal cancer and abdominal aortic aneurysm screening.
- Consensus was reached that social insurance should cover only eligible individuals or those referred.
Conclusions:
- The proposed screening programs represent a novel, consensus-driven approach to secondary prevention in Greece.
- Implementation is expected to reduce disease burden and optimize health resource allocation.
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