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In order to promote a breast cancer screening program with the use of mammography in all areas of Osaka Prefecture, we have tried to clarify the current situation and future problems by sending annual questionnaires to health centers of individual municipalities.<BR>By 2004, 25 municipalities (57% of all in Osaka Prefecture) had adopted a screening program involving both physical examination and mammography, and 10 others intend to introduce the program in 2005. Thus the new practice guidelines stipulated by the Ministry of Health, Labour and Welfare have gradually been accepted. At present, however, in many of those municipalities that have adopted the new guidelines, screening is carried out either by physical examination (inspection and palpation) alone or by a combination of physical examination and mammography. It appears that there is not always good communication and cooperation between health centers and medical associations, which are composed mainly of primary-care physicians. Doctors seem to have acquired insufficient knowledge about the need for quality control and the activity of the Central Committee for Quality Control of Mammographic Screening, although some improvements have become evident recently.<BR>Thus far the participation rate has been low, suggesting that much more education about breast health is needed not only for women in general but also for primary-care physicians and health center officials.<BR>We, the members of the Osaka Working Group for Breast Cancer Screening, have made several plans and actually performed several activities such as a mammography study course, an academic lecture meeting and an educational meeting for citizens. In the future, we must make more effort to act as coordinators between the public, physicians' associations and local officials in order to increase the quality of breast cancer screening.
- 日本乳癌検診学会の論文
日本乳癌検診学会 | 論文
- Characteristics of Patients with Interval Breast Carcinomas.
- Evaluation of Mass Screening for Breast Cancer Conducted under the Health and Medical Service Law for the Elderly and the Actual Conditions of Health Insurance Administration in Zentsuji City.
- Two Cases of Mucinous Carcinoma of the Breast Manifested as Interval Cancer.
- Breast-Conserving Therapy for Breast Cancer Patients Showing Mammographic Evidence of Calcification.
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