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If only one out of the three hospitals implements screening, the total investment costs are $0.8 m 7.8.8%) higher than the total investment costs of the 3 hospitals in base case scenario, while the number of infections averted in the participating hospital diminishes by 254 (−11.5%) (158 infections are averted in each of the non-participating hospitals).
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The possibility of ascertainment bias (detection of milder cases) is inherent in studies that implement screening systems.
Eleven polo bases implemented screening activities.
This is comparable to findings from other studies that have implemented screening strategies [ 42], but higher than that achieved by other urban clinics that have implemented screening [ 24].
Many Western countries have implemented screening mammography programmes with the aim to reduce breast cancer mortality.
Nonetheless, the decision to implement screening programmes still requires evidence of effectiveness.
In the remaining studies implemented screening strategies – by means of current screening programmes in the control group – could also have had an effect on the outcome measurement.
While screening programmes are in place, or being piloted, in several European countries [ 3], many other countries have not yet implemented screening.
As high attendance is a prerequisite for the success of any screening programme, most countries implementing screening need to engage in studies on achieving high attendance rates.
Primary care nurses implemented screening for depression in patients with chronic illness in ways which contribute to explaining the apparent small impact of screening.
As the current programme is implemented screening providers need to avoid the possibility of patterns of low uptake in ethnic and deprived groups becoming entrenched.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com