Architecture and Implementation of Information Strategy Serving Population-based Cancer Screening Programmes in the Czech Republic: Lessons Learned from the Management of Multiple Data Sources


Publikace nespadá pod Ústav výpočetní techniky, ale pod Lékařskou fakultu. Oficiální stránka publikace je na webu

DUŠEK Ladislav MÁJEK Ondřej KLIMEŠ Daniel BLAHA Milan MUŽÍK Jan GREGOR Jakub

Rok publikování 2015
Druh Článek v odborném periodiku
Časopis / Zdroj International Journal on Biomedicine and Healthcare
Fakulta / Pracoviště MU

Lékařská fakulta

Obor Onkologie a hematologie
Klíčová slova Cancer prevention; cancer screening; information system
Popis All three evidence-based cancer screening programmes (screening for breast cancer, colorectal cancer, cervical can- cer) have been running in the Czech Republic, as recom- mended by the World Health Organization (WHO) and the Council of the European Union. Systems for individual data collection and performance monitoring are implemented in accordance with the valid international guidelines. The information system is designed as multimodal, covering all necessary levels: population monitoring via a nation- wide registry of cancer epidemiology, diagnostic registries of screening centres, and administrative registry of health care payers. The strongest point of the present study lies in the accessibility of information over a 34-year period of continuous and standardised registration covering virtually 100% of cancer diagnoses within the entire Czech popula- tion. The data summary is also available for the public as an interactive on-line tool ( In 2014, a system of personalised invitations was imple- mented in the data centres of health care payers and in one year, nearly 2 millions of inhabitants were invited to the screening programmes. The system reached a partic- ipation rate ranging between 10% and 15%, and signi- cantly increased the screening coverage (colorectal screen- ing: > 32%, breast and cervical screening: both > 55%). An active on-line reporting supports the system sustain- ability. All relevant guidelines, outcomes and reports of the screening programmes are available on the websites,, The main challenge for the future is to facilitate the individual linkage of dierent data sources with the help of innova- tive legislation, and to use these tools to contribute to the reduction of cancer mortality.
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