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Biomedical subjects

M A Roworth

Publications and source records attributed to M A Roworth.

3 recordsLinked to original sources

Women's views of the Scottish Breast Screening Programme: a national consumer opinion survey.

A questionnaire survey of 3,000 women attending operative Scottish breast screening outlets was conducted to ascertain women's views of the Scottish Breast Screening Programme. The survey aimed to discover women's opinions of waiting areas, staff, changing facilities, screening procedure and intentions about returning for screening in the future. The response rate was 86%. Overall 84% found reception staff very helpful, 98% found undressing instructions clear, waiting areas comfortable and changing areas private enough; 77% thought the radiographers were very understanding; 97% received enough explanation about the mammogram and 96% felt able to ask questions; 89% said the entire screening process was as, or better than expected; 89% said they were very likely to come back in three years' time. At individual outlets up to 33% of women had insufficient information about breast screening prior to attending and up to 17% had to wait more than 20 minutes after their appointment times. Up to 21% felt moderate or severe pain on screening and up to 51% found pressure worse than expected. In conclusion, the Scottish Breast Screening Programme is very acceptable to women but at some outlets the appointments system, information giving and screening pressure needs to be reviewed.

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Screening in the elderly.

It has been known for some years that elderly people have unreported health problems and screening as a means of earlier detection and treatment has been advocated in the past. More recently there has been a renewed interest in this type of preventive health care for elderly people. Conventional screening for early asymptomatic disease is often termed secondary prevention, but in the case of elderly people, screening more closely resembles tertiary prevention. Regular call and recall or consultation-based opportunistic screening are alternative ways of organising screening of elderly people in primary care. Each approach has particular problems but the increased workload for staff resulting from screening is common to both. Selective screening has been tried to resolve this issue. It has taken two forms; the 'at-risk' group approach and the use of postal questionnaires. Neither of these approaches is entirely satisfactory. The published randomised controlled screening trials are too small to show any significant effect on measures of disability levels, social functioning or psychological well-being in old people, although one study demonstrated decreased mortality in the intervention group. Larger evaluative studies are needed before any form of screening for elderly people can be recommended.

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