National screening program for transitional ages in Korea: a new screening for strengthening primary prevention and follow-up care - PubMed (original) (raw)

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National screening program for transitional ages in Korea: a new screening for strengthening primary prevention and follow-up care

Hyun Su Kim et al. J Korean Med Sci. 2012 May.

Abstract

Screening can effectively reduce mortality and morbidity in some diseases. In Korea, a practical national screening program for chronic disease was launched in 1995 and several problems were discussed. The program focused primarily on disease detection without follow-up care. In addition, the test items were uniform regardless of subject's age, sex, or risk factors; and people with low socioeconomic status were excluded. To improve the quality of program, a new national screening program called the "National Screening Program for Transitional Ages (NSPTA)" was initiated in 2007. It targeted two age groups, ages 40 and 66, because these ages are important transition periods in one's lifecycle. Follow-up care and education for lifestyle modification has been intensified; screening tests for mental health problems and osteoporosis have been introduced. The pool of eligible participants has been expanded to include people supported by Medicaid. This review aimed to describe the contents, process, and characteristics of the NSPTA and to compare it with the previous program. In addition, some preliminary results from 2007 to 2009 were presented. Lastly, we suggest several points that need to be considered to improve the program such as enhancement of participation rates, necessity of specialized committee and research for current screening program to be supported by evidence.

Keywords: Follow-up; Health Risk Appraisal; Korea; Lifestyle; Mass Screening; National Health Screening; Primary Prevention; Secondary Prevention; Transitional Age.

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Figures

Fig. 1

Fig. 1

Overall process of the NSPTA. *National Screening Program for Transition Ages; †General Health Screening Program.

Fig. 2

Fig. 2

Participation rates in the NSPTA from 2007 to 2009, stratified according to age and insurance. *Practically, people supported by Medicaid participated in NSPTA from 2008.

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References

    1. Wald NJ. Guidance on terminology. J Med Screen. 2008;15:50. - PubMed
    1. Leavell H, Clarke E. Preventive medicine for the doctor in his community. An epidemiologic approach. 3rd ed. New York: McGraw-Hill; 1965.
    1. Criteria for appraising the viability, effectiveness and appropriateness of a screening programme. UK National Screening Committee. [accessed on 1 October 2011]. Available at http://www.screening.nhs.uk/criteria.
    1. Screening programmes across the UK. UK National Screening Committee. [accessed on 1 October 2011]. Available at http://www.screening.nhs.uk/programmes.
    1. The guide to clinical preventive services 2010-2011. U.S. Preventive Services Task Force. [accessed on 1 October 2011]. Available at http://www.USPreventiveServicesTaskForce.org.

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