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PubMed1995

[Health programs. The management of a program].

An opinion article of health care programmes questioning the effects and benefits of their management. The AA, based on their experience in management/administration, present suggestions to identify, quantify and analyse a problem in health care. After characterising a health care problem, the AA point out the fundamental role of planning (in health care) and invited interdepartmental collaboration between the various levels of health care managers. The eventual mission of health care programmes is stressed, their structural conformity with the external environment (community) and internal environment (health care institutions), the resources affected, their process and the results to be achieved, as well as their co-ordination. The programme manager, with a specific profile and duties, is suggested as an important leadership factor. The conclusion advises health care strategists of the future importance of the programmes.

Health Planning↗
PubMedDate not supplied

[Program of early detection of breast cancer in Castilla-la-Mancha. Preliminary data of the first 5 months of performance. Regional Group on the Evaluation of the Program of Early Detection of Breast Cancer].

BACKGROUND: A Breast Cancer Screening Programme managed by the Regional Ministry of Health in Castilla-La Mancha (Spain) was started in November 1992 in two districts. The purpose of this study is to describe the short-term results after five months of running. METHODS DESIGN: descriptive, cross-sectional study. SETTING: female population of Talavera de la Reina and Cuenca cities, from November 1992 to the end of March 1993. PARTICIPANTS: 10.050 healthy women between 45-64 years old, who were invited, by personal letter, to attend a mammography unit. RESULTS: 6.503 women accepted the screening invitation (participation rate of 65%) without differences between both districts. The personal letter was the main information source to women, and the presence of beliefs, attitudes and favorable experiences were the main reasons to accept the screening. The rescreening was needed by 4% of women, and finally, 67 women (1.1%) were classified "positive". The programme cost for every women into the screening was 4.067 ptas. CONCLUSION: According to these results, is it feasible as economically as from the point of view of the organization, to extend the programme in Castilla-La Mancha.

Breast Neoplasms↗