Breast cancer is currently the most prevalent cancer and the most frequent cause of cancer-induced deaths in women in Europe. Demographic trends indicate a continuing increase in this substantial public health problem and Bulgaria does not differ from these negative trends. Evidence from many European countries shows that sys tem atic early de tec tion through screen ing, ef fec tive di ag nos tic path ways and op ti mal treat ment have the ability to substantially lower current breast cancer mortality rates and reduce the burden of this disease in the population. The achievements of the UK as a `gold standard` country in breast cancer screening, diagnostics and treatment is indisputable and its experience - worthy of exploration. This study aims to comparatively analyze the breast cancer screening practices in the two countries and on that basis to draw out specific recommendations for experience transfer from the UK to Bulgaria. The methods involve comparative analysis of screening practices in the two countries and documentary analysis in the area of breast cancer prevention field. A major emphasis is placed on the NHS Breast Screening Programme. Its main advantages and positive experiences are summarized. The most important ones identified as suitable for transfer to Bulgaria refer to: economic preliminary assessments; effective management process; prioritisation of quality assurance activities; continuous updates of the programme based on research outcomes and evidence-based practice; systematic involvement of the primary health care teams; public and professional education, and political support. In the context of globalizing society and limited resources, experience transfer of the best practices is a rational approach for solving important public health problems.
Scripta Scientifica Medica 2007;39(1):79-83
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