Assessment of the effectiveness of health promotion and disease prevention technologies. IPE-02/36 (Public report)

Sarria-Santamera A, Timoner-Aguilera J
Record ID 32003001173
Spanish
Authors' objectives:

The objective of this report is to asses factors associated with the uptake of disease prevention and health promotion services. The specific objectives are to investigate the effectiveness of different strategies aimed to increase women participation in breast cancer detection using mammography.

Authors' results and conclusions: 45 studies were identified. Interventions that include community participation (lay workers, community organizations) or health systems organizational changes (population based programs, total quality initiatives, financial incentives) are strategies with a high rate of women participation. The benefit of strategies using information systems, self-control, decision making support, or health provision design is equivalent to usual care. More complex interventions, in terms of number of strategies uses, obtain better outcomes. Single strategies interventions effects appear to be similar to usual care. Community-wide and population based interventions show the best results. Health center based or health plan based interventions present a lower rate of success.
Authors' recommendations: The complexity inherent to disease prevention programs should be taken account in order to increase participation in those programs. Multifaceted interventions are more likely to be successful to overcome the different barriers to increase participation in disease prevention. Interventions should include community activation and participation and health systems organizational changes. Community-wide and population based interventions are key factors to increase participation in those programs.
Authors' methods: Systematic review
Details
Project Status: Completed
URL for project: http://www.isciii.es/aets/
Year Published: 2002
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Health Promotion
  • Mammography
  • Mass Screening
  • Breast Neoplasms
Contact
Organisation Name: Agencia de Evaluacion de Tecnologias Sanitarias
Contact Address: Instituto de Salud "Carlos III", Calle Sinesio Delgado 6, Pabellon 4, 28029 Madrid, Spain. Tel: +34 9 1 822 2005; Fax: +34 9 1 387 7841;
Contact Name: Luis M. Sánchez Gómez
Contact Email: luism.sanchez@isciii.es
Copyright: Agencia de Evaluacion de Tecnologias Sanitarias (AETS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.