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Annual Report 2006

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Early Detection<br />

29<br />

Breast Cancer<br />

The ICA continues to support the operation of<br />

regional Clinics for the early detection of breast<br />

cancer throughout the country.<br />

The national education program promoting<br />

breast care awareness and recognition of<br />

the importance of early detection of breast<br />

cancer is conducted for all women in Israel.<br />

Efforts are invested in various sectors of the<br />

population such as the Arab sector, Kibbutzim,<br />

new immigrants, Ultra-Orthodox women, etc.<br />

Informative material on the subject is distributed<br />

in hundreds of thousands of copies in Hebrew,<br />

Arabic and Russian.<br />

National Mammography Project<br />

The National Mammography Project initiated and<br />

currently run by the ICA in conjunction with the<br />

Ministry of Health and the Healthcare Funds, has<br />

been monitoring breast cancer detection activity<br />

in Israel for the past thirteen years. Prof. Gad<br />

Rennert, Director of the Community Medicine<br />

and Epidemiology at Carmel Hospital, heads<br />

this evaluation program.<br />

Since the outset of this program, the number<br />

of mammography units operating in Israel has<br />

grown from 20 to 56 - 44 of which are currently<br />

monitored by the National Mammography Project.<br />

This monitoring program consists of operation<br />

under defined national and international standards,<br />

that provides the necessary information<br />

and facilitate monitoring of detection quality.<br />

These institutes under quality assurance control,<br />

receive complete information on these detection<br />

rates, on the features of tumors detected and<br />

possible false negative results.<br />

The main objective of the National Mammography<br />

Project is to ensure a decrease in breast<br />

cancer mortality rates, as has been proven<br />

in population studies that have found a 30%<br />

decrease in mortality in women screened over<br />

the age of 50.<br />

This year the scheduled appointments for mammography<br />

screening continue, conducted in<br />

close collaboration with the healthcare funds.<br />

All women between the ages of 50 and 74 are<br />

summoned once every two years. The mammography<br />

program and summoning activity<br />

have raised the compliance rate, which currently<br />

stands at about 65%.<br />

Satisfaction Survey - Mammography<br />

Institutes in Israel<br />

Over the past year a telephone survey was<br />

conducted to rate satisfaction with National<br />

Mammography Project mammography institutes<br />

in Israel, established upon the initiative of<br />

the ICA and operated in collaboration with the<br />

Ministry of Health and the healthcare funds.<br />

The survey was conducted among a sample<br />

of 3300 women who were screened at one of<br />

the 38 institutes that are part of the National<br />

Mammography Project.<br />

The women were interviewed within two days<br />

of having undergone the test and were asked<br />

to rate on a scale from 1 to 6 their satisfaction<br />

with the physical conditions at the institute<br />

and the treatment of the attending staff; they<br />

were also asked to evaluate pain during the<br />

test, the degree to which their privacy was<br />

maintained and their general satisfaction<br />

with the institute. 77% of the women rated<br />

their overall satisfaction with the institute very<br />

high, 19% expressed great satisfaction and only<br />

4% of the women expressed average or lower<br />

satisfaction. Great satisfaction was conveyed<br />

regarding physical conditions at the institutes,<br />

treatment of the attending staff and the degree<br />

to which privacy was maintained throughout the<br />

entire process. 25% of the women indicated<br />

that the test was painful. 90% of the women<br />

indicated that they were admitted by the institute<br />

office within 10 minutes of their arrival.<br />

Slight differences between private institutes<br />

and public institutes emerged in the rating of<br />

overall satisfaction and satisfaction with the<br />

physical conditions at the institute, in favor of<br />

the private institutes; however no difference<br />

was found between the institutes in satis-

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