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How are decisions about screening programmes made?

The National Health Committee has developed a list of criteria against which decisions about new screening programmes can be assessed.  These criteria are:

  • the condition is a suitable candidate for screening
  • there is a suitable test
  • there is an effective and accessible treatment or intervention for the condition identified through early detection
  • there is high-quality evidence, ideally from randomised controlled trials, that a screening programme is effective in reducing mortality or morbidity
  • the potential benefit from the screening programme should outweigh the potential physical and psychological harm (caused by the test, diagnostic procedures and treatment)
  • the health care system will be capable of supporting all necessary elements of the screening pathway, including diagnosis, follow-up and programme evaluation
  • there is consideration of social and ethical issues
  • there is consideration of cost-benefit issues.

For further information, see the document Screening to Improve Health in New Zealand: Criteria to assess screening programmes, National Health Committe (2003).