I hope my Brunel OH students have been following this debate.
there is a useful chapter covering ethical issues of screening in Ogden J (2000) Health Psychology: A textbook (2nd ed) Buckingham, OUP.
thanks everyone
________________________________
From: [log in to unmask] on behalf of Maguire, Kevin
Sent: Tue 23/01/2007 11:14
To: [log in to unmask]
Subject: [OCC-HEALTH] Screening
Greta,
Thanks for the reference of screening.
I have been enjoying the correspondence on screening as it is one of those areas which slide into and out of the focus of Public Health. The current debate brings out the importance of context for screening but it also has brought out the notion of the legitmate screener: who holds the boundaries on the principles and use of screening? Keep up this debate. What are the arguments for a testing free-for-all with the 'screenee' taking responsibility? There must be one, perhaps along the of lines of "Many other aspects are being customerised, why not screening?"
In swapping text books on epidemiology, I have found Bhopal R., 2003, Concepts of Epidemiology, Oxford, Oxford Univeristy Press 9ISBN 0192631551) to give a really thoughtful and theoretically cohesive book.
Kevin
Kevin MAGUIRE MSc BSc BA CPsychol MCIEH, Senior Lecturer, Division of Criminology, Public Health and Policy Studies, School of Social Sciences, Nottingham Trent University, Burton Street, Nottingham, NG1 4BU. UK. Telephone ++ 44 (0) 115 848 5540
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Greta Thornbory
Sent: 23 January 2007 09:35
To: [log in to unmask]
Subject: [OCC-HEALTH] Reference for Wilson & Junger
Wilson J M G & Junger G (1968) Principles and practice of screening for disease, Geneva, World Health Organisation (Public Health Papers No 34)
However, it is quoted in many HP texts and the one book I find the most useful for understanding epidemiology which is 'Basic Epidemiology' by Beaglehole, Bonita & Kjellstrom (1993 but updated and reprinted 2005) and available as a download from WHO Geneva (ISBN 92 4 154446 5)
Greta
----- Original Message -----
From: Maguire, Kevin <mailto:[log in to unmask]>
To: [log in to unmask]
Sent: Tuesday, January 23, 2007 7:44 AM
Subject: [OCC-HEALTH] Screening
Greta,
I would appreciate a reference for the "Wilson and Junger criteria 1968".
Kevin
Kevin MAGUIRE MSc BSc BA CPsychol MCIEH, Senior Lecturer, Division of Criminology, Public Health and Policy Studies, School of Social Sciences, Nottingham Trent University, Burton Street, Nottingham, NG1 4BU. UK. Telephone ++ 44 (0) 115 848 5540
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Greta Thornbory
Sent: 22 January 2007 23:15
To: [log in to unmask]
Subject: [OCC-HEALTH] Sending results to GP's
Hi Mark, Glenn et al.
An interesting discussion and I have to admit I am on Mark's side here and agree wholeheartedly with all he has said. I would also remind folks of what I said (and stand by) in a similar email query back in Aug last year:
One place to look is on www.ebandolier.com <http://www.ebandolier.com/> for evidence based stuff in their health living zone. The other thing to consider is the Wilson & Junger criteria 1968 which is the accepted criteria for screening and includes that :
·
1. the disease should be a serious health problem ·
2. there should be a suitable test or examination ·
3. the test should be acceptable to the population being screened ·
4. there should be an accepted treatment for the disease
5. facilities for diagnosis and treatment should be available ·
6. the cost of the tests and treatment should be economically balanced in relation to possible expenditure on medical care as a whole
Generally it is the facilities for treatment that are overlooked i.e. what do you do with the results? And how right I am - this was not considered in the Health promotion activity being discussed or the question would not have been asked.
Health promotion is NOT about screening procedures either. Yes of course lots of people are happy with what you are all doing - it is known as the 'Hawthorn effect'. Tones (1990) defines health promotion as 'all measures deliberately designed to promote health and handle disease'. So you can do a lot to promote health without actually doing any screening tests which MAY and DO cause- terrible problems. Nursing is about empowering people to take responsibility for their own health by being able to make informed choices. If they then choose to ignore professional advice that is their choice - just like thousands of smoking overweight nurses ignore their own advice.
Cheers, Greta
Greta Thornbory
Consultant, Occupational Health & Education
Consultant Editor, OH Journal
www.gtenterprises-uk.com <http://www.gtenterprises-uk.com/>
Tel: 01235 770156
Mob: 07778 518 027
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Please remove this footer before replying.
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