• Print

released: 1 May 1990 author: AIHW

This report is the principal outcome of the national evaluation of breast cancer screening pilot projects. It makes detailed recommendations about the policy aspects of developing a national breast cancer screening program for Australia.

ISSN 1035 5049; ISBN 978 0 644 12539 0; Cat. no. AIHW 322; 116pp.; Internet only

 Publication 

Publication table of contents

  1. Preface              
  2. Terms of reference
  3. Committee membership  
  4. Recommendations
  5. Background to the national evaluation of breast cancer screening
  6. Screening for breast cancer
    • 6.1 What is screening?
    • 6.2 Why screen for breast cancer?
    • 6.3 Prospects for primary prevention
    • 6.4 Important considerations in screening for breast cancer
    • 6.5 How to screen for breast cancer
      • 6.5.1 Breast self-examination
      • 6.5.2 Mammography 
      • 6.5.3 Physical examination
      • 6.5.4 Other screening methods
      • 6.5.5 Conclusion
    • 6.6 Potential impact on breast cancer mortality
    • 6.7 Is breast cancer screening value for money?
      • 6.7.1 Calculation of the cost per life year estimate
      • 6.7.2 Sensitivity analysis of the cost per life year results
      • 6.7.3 Interim quality of life results
    • 6.7.4 Interim treatment cost results
    • 6.8 Can high quality breast cancer screening be performed in Australia?
    • 6.9 Is breast cancer screening acceptable to Australian women?
  7. Components of a successful screening program
    • 7.1 Maximising benefit and minimising adverse effects  
    • 7.2 Acceptability to women and meeting women's needs
      • 7.2.1 Recruitment of women to attend for screening
      • 7.2.2 Screening and assessment
    • 7.3 Involvement of general practitioners
  8. A breast cancer screening program for Australia
    • 8.1 Functions
      • 8.1.1 Services to women
      • 8.1.2 Support and quality assurance
    • 8.2 Provision of support and quality assurance functions
      • 8.2.1 National responsibilities
      • 8.2.2 State-Territory responsibilities
    • 8.3 Provision of services to women
      • 8.3.1 Recruitment
      • 8.3.2 Screening and assessment
      • 8.3.3 Treatment services
    • 8.4 National screening policy
      • 8.4.1 Selection of women for screening
      • 8.4.2 Screening interval
      • 8.4.3 Number of mammographic views
      • 8.4.4 Film reporting
    • 8.5 Resource requirements
      • 8.5.1 Coverage by current pilot projects
      • 8.5.2 Projected requirement for screening units and assessment centres
      • 8.5.3 Staffing requirements
    • 8.6 Funding mechanisms for a national program
      • 8.6.1 Commonwealth-State-Territory aspects
      • 8.6.2 The payment scheme for funding screening and assessment  
    • 8.7 Implementation of a national screening mammography program
      • 8.7.1 Approach to implementation
      • 8.7.2 Timetable for introduction of a national program
      • 8.7.3 Workforce requirements and availability
      • 8.7.4 Establishment of central units and screening services
      • 8.7.5 Roles of the public and private sectors
  9. Cost of a national mammography screening program
    • 9.1 Screening and assessment costs
    • 9.2 Evaluation and coordination costs
  10. References
  • Appendices
    • 1 Projected resource and facility requirements for various screening policies
    • 2 Staff of the Screening Evaluation Coordination Unit, Australian Institute of Health
    • 3 Acknowledgements
    • 4 Breast cancer screening pilot projects

Recommended citation

AIHW 1990. Breast cancer screening in Australia: future directions. Prevention program evaluation series no. 1. Cat. no. AIHW 322. Canberra: AIHW. Viewed 23 July 2017 <http://www.aihw.gov.au/publication-detail/?id=6442466458>.

Request an alternative format

Please contact us if you need information from the website presented in an alternative format for accessibility reasons.