Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Factors Associated with Performance of National Cancer Screening Program in Korea

국가 암조기검진사업 성과에 영향을 미치는 요인 - 보건소 및 사업실무자 특성을 중심으로 -

  • Published : 2004.09.01
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Abstract

Objectives : Cancer is the leading cause of death in Korea. Therefore, a National Cancer Screening Program (NCSP) was launched in 1999. This study planned to evaluate the performance of the NCSP to identifying the influencing factors in relation to characteristic public health centers. Methods : To analyze the performance, the database of the NCSP records for 2002 was used. The performance index was measured by the goal achievement rate, which was defined by the real number of screenees against the expected number of screenees. Also, a survey was conducted by a self-administered questionnaire to identify the factors associated with the goal achievement rate. The questionnaire was divided into two sections. In the first section, the individual characteristics of the program coordinator in each public health center were measured, and second section was comprised of questions about the organizational characteristics associated with the NCSP. A total of 121 subjects from 241 public health centers completed the questionnaire. Results : Of the 121 public health centers (50.2% response rate), the average goal achievement rate was 72.8%. The results of the regression model showed that public health centers located in rural area (parameter estimates=38.2) and had great support from a head of center or province (parameter estimates=0.20) and tended to have higher goal achievement rates. However, the characteristics of the program coordinator, especially their knowledge of and attitude toward cancer screening, were not significantly related to the goal achievement rates. Conclusions : It appears that the most important associated factors to the goal achievement rate in the NSCP were the location of the public health center and the support for the NCSP from the head of the center or province.

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References

  1. Mnisry of Health and Welfare. Arumal Report of the Korea Central Cancer Registry. 2002 (Kcrean)
  2. Kcrea Natirnal Statistical Office. Annual report of the cause of death statistics. 1990- 2001 (Kcrean)
  3. WHO, National cancer control programrnespolicies and managerial guidelines. 2002
  4. Brown ML, Hodgson TA, Rice DP. Bcmomic impact of cancer in the United States. In:Schottenfield D, Ftaurneni JF, eds. Cancer Epidemiology and Prevention. 2nd ed. New York, Oxford University Press, 1996
  5. National Health Insurance Corporation. 2002 National health insurance statistical yearbook. 2003 (Korean)
  6. Mnistry of Health and Welfare. 2003 Natirnal cancer screnieg programmes guidelines. 2003 (Kcrean)
  7. WHOlARC. World cancer report. 2003
  8. Gustafsson L, Poten J, Zack M,Adami HO. International ircidence rates of invasive oervical cancer after introduction of cytological screening. Cancer Causes Control 1997; 8: 755-763 https://doi.org/10.1023/A:1018435522475
  9. Laara E, Day NE, Hakarna M. Trends in mortality from cervical cancer in the Nordic countries: association with organised screening programmes. Lancet 1987; 1: 1247-1249
  10. Kmietowicz Z.WHO insists screening can cut breast cancer rates. BMJ2002; 324 7339): 695
  11. Tabar L, Fagerberg G, Duffy SW, Day NE, Gad A, Grontoft O. Update of the Swedish two-country program of mammographic screening forbreast cancer. Rodiol Clin North Am1992;30:187-210
  12. Miristry of Health and Welfare. 2001 Natirnal health and nutrition survey. 2002 (Korean)
  13. Kim BI, Lee SI, KimY,Kang YH Evaluation of national cancer screening programme and development of management system. Ministry of Health and Welfare, 2001(Korean)
  14. Mmg KH, Lee WC,Ro WN et al. Developing strategy to porrote the cancer screnieg rate in a cormnnity. Ministry of Health and Welfare, 2001 (Kcrean)
  15. Shin HR, Park SY, Lee ESl, Choi IJ, Yun YH, Choi KS, Lim MK, Ju YH, Gu JY, Yang JH, Develcpment of evauation and quality contriol system of the national cancer screening program. National Cancer Center, Ministry of Health and Welfare, 2002 (Korean)
  16. Lee KS, Chang SH, Lee WJ. Camcer screening rate and related factors in rural area. Korea J Prev Med2000; 33(3): 364-372 (Kcrean)
  17. HoTIy K. Outreadt to multiethnic, multicultural, and multilingual women for breast cancer and cervical cancer education and screening: a model using professional and volunteer staffing. Fam Commun Health 2003; 26(4): 307-318 https://doi.org/10.1097/00003727-200310000-00007