Prospecting view on organization of breast cancer screening in France

Development of an organized cancer screening is today an essential axis of Public Health. Successive sequences are the test, the experience and the ge neralization. There are three principles for this generalization. 1. transp arence with a specific act coding, 2. selectivity to assure the quality at each stage of this process; 3. responsabilisation on both professionals and policy holder levels. A such organization can only find its reasons in : 1 . a legislative text who settles a very, strict frame in accordance with re gulations with a specific list and therefore differed for the act itself; 2 . professionals and structures approved for organized screening acts, cover ed at 100 %, The regional level will certainly be at the center of this sys tem. Three authorities are marked out for playing significant role the Regi onal Direction of Sanitary and Social Action, the Regional Union of Sicknes s Insurance Funds and the Regional Union of Liberal Physicians. If those me asures and this organization might improve the quality of screening acts, t hey would be for the major part ineffective if they don't allow to get buck to women who today escape for the major part, from this prevention process . They are essentially persons aged of 55 years old and over and the most d eprived publics. In this prospect, the genera practitioner must play an ess ential role in a same time to go back to those publics and ease an open to a dialogue around screening.