Majstorović Nemanja, Simić Snezana, Matejić Bojana, Cudanov Mladen
Srp Arh Celok Lek. 2014 Jan-Feb;142(1-2):59-66. doi: 10.2298/sarh1402059m.
High values of standardized mortality and morbidity rates of standardized cancer mortality in Serbia, especially colorectal, cervical and breast cancer led to creation of national programs for their early detection and engagement of the international support for their implementation.
Assessment of required resources (time, personnel, financial) to implement the National program for screening of breast cancer in the Republic of Serbia.
Three possible scenarios have been prepared (optimistic, realistic and pessimistic) based on the expected coverage by screening of women aged 45 to 69 years, and time, personnel and financial feasibility estimates were made for a two-year screening cycle.
Time aspect of feasibility even under conditions of "relaxation" of the assumption on the number of working days during the year did not question feasibility of any of the scenarios. Personnel feasibility is only possible in the pessimistic scenario, while the financial feasibility only makes sense in optimistic scenario as the least unfavorable solution due to economies of scale.
Establishment of the initial base of skilled radiologists and radiology technicians and the system for their continuous medical education as well as allocation of specific MoH budget line for screening program expenditures, along with donated mammographs and good organization and coordination, may provide unobstructed implementation of the National program for early detection of breast cancer in the Republic of Serbia.
塞尔维亚标准化癌症死亡率，尤其是结直肠癌、宫颈癌和乳腺癌的标准化死亡率和发病率较高，这促使该国制定了早期检测国家计划，并争取国际支持以实施这些计划。
评估在塞尔维亚共和国实施国家乳腺癌筛查计划所需的资源（时间、人员、资金）。
根据对45至69岁女性筛查的预期覆盖率，准备了三种可能的方案（乐观、现实和悲观），并对两年筛查周期的时间、人员和资金可行性进行了估算。
即使在一年工作日数量假设“放宽”的情况下，可行性的时间方面也没有对任何一种方案的可行性提出质疑。人员可行性仅在悲观方案中可行，而资金可行性仅在乐观方案中有意义，因为由于规模经济，这是最有利的解决方案。
建立熟练的放射科医生和放射技术人员的初始基础以及他们的持续医学教育体系，为筛查计划支出分配特定的卫生部预算项目，以及捐赠乳房X光检查仪和良好的组织协调，可能会使塞尔维亚共和国国家乳腺癌早期检测计划顺利实施。
