Health is a unity and harmony within the mind, body and spirit which is unique to each person, and is as defined by that person. The level of wellness or health is, in part, determined by the ability to deal with and defend against stress. Health is determined by physiological, psychological, socio-cultural, spiritual, and developmental stage variables.
Proactive chlamydia screening is not good value for money
Screening :: Proactive chlamydia screening is not good value for money
Proactive chlamydia screening for young adults is an expensive intervention that probably does not represent good value for money, concludes a study published on bmj.com today.In England, chlamydia screening is mainly opportunistic, but in some areas general practices registers are being used to send proactive invitations to potentially eligible people to remind them to be re-screened.
Most studies have suggested that chlamydia screening is cost-effective, but there are now questions surrounding the validity of these results. So researchers set out to compare the cost effectiveness of proactive screening with a policy of no organised screening.
Using a mathematical model, screening was offered proactively to a hypothetical population of 50,000 men and women aged 16-24 years. A dynamic model was used to give the closest possible approximation to the real sexual behaviour of this population.
Previous studies have used static models that are inappropriate for evaluating an infectious disease.
The cost-effectiveness of screening was based on major outcomes averted, defined as pelvic inflammatory disease, ectopic pregnancy, infertility, or neonatal complications.
For screening men and women, the incremental cost effectiveness ratio per major outcome averted after eight years was approximately ?28,900 compared with no organised screening. It was less costly to screen women only but also less effective, and the incremental cost effectiveness ratio per major outcome averted was approximately ?22,300.
Pelvic inflammatory disease was the most frequently avoided outcome.
When the incidence of major complications and uptake of screening were increased (but to values unlikely to be seen in real life), the cost effectiveness ratio fell to ?6,200 per major outcome averted for screening women only.
The authors conclude: ?Our evaluation of proactive population chlamydia screening, using a dynamic model incorporating realistic estimates of partner notification, the uptake of screening, and the incidence of severe complications, has shown it to be an expensive intervention that probably does not represent good value for money.?
(Screening :: Proactive chlamydia screening is not good value for money published at SpiritIndia on Thursday, July 26, 2007)
Screening
Search more information on Screening, Screening booksRecently posted related articles on Screening :
- MRSA :: MRSA screening essential to stop hospital infections
- Colorectal Cancer :: Racial and ethnic differences in colorectal cancer emphasize importance of screening
- Colorectal Cancer :: Colorectal cancer screening remains essential for elderly Americans
- Depression :: Take part in National Depression Screening Day, US
- Colorectal Cancer :: Virtual colonoscopy - a new technology for colorectal cancer screening
- Pregnancy :: Routine thyroid screening not recommended for pregnant women
- Colorectal Cancer :: New insights into colorectal cancer screening
- Healthcare :: Identifying the optimal protocol for domestic violence screening in primary care
- Colon Cancer :: Under-used colon cancer screening test is effective
- Colon Cancer :: Jefferson researchers find personalized interventions key to improving colon cancer screening rates
Most related articles:
- Screening :: Proactive chlamydia screening is not good value for money- Chlamydia :: Opportunistic chlamydia screening questioned - 17.9
- Gonorrhea :: Low Prevalence of Gonorrhea, Heavy Incidence of Chlamydia in U.S. - 12.3
- Chlamydia :: More people screened for chlamydia in the community - 11.4
- Healthcare :: Identifying the optimal protocol for domestic violence screening in primary care - 8.4
- Stroke :: Screening improves detection of major stroke risk factor - 7.9
- Breast Cancer :: Screening matters this Breast Cancer Awareness Month - 7.9
- Melanoma :: One-time melanoma screening of older adults appears to be cost-effective - 7.8
- Colorectal Cancer :: The fight against colorectal cancer - 7.6
- Cancer :: Survey determines impact of false-positive cancer tests - 7.3
Screening - recent related articles/news stories:
- India H1N1 flu update - 1927 positive for H1N1 virus- Is influenzinum right homeopathic remedy for H1N1 flu?
- Update on Influenza a H1N1 in India
- 298 positive for Influenza A H1N1 recorded in India
- Influenza a H1N1 update - 158 cases in India
»» Antibiotic :: Prescribing of antibiotics to children still at a level to cause drug resistance
«« Pregnancy :: Weight and pregnancy
The information provided on SpiritIndia.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Spirit India comply with the HONcode principles for trustworthy health information.
Health, Business, Science, Sports, Entertainment, Technology
©2002-2009 SpiritIndia.com
Health, Business, Science, Sports, Entertainment, Technology
©2002-2009 SpiritIndia.com