A state health department is planning to redesign its newborn screening program. The nurse charged with heading this initiative would identify which concerns about using the Wilson and Jungner Classic Screening Criteria to guide this work?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Interpretation of what is an "important health problem" is individual and therefore variable.
2. The acceptability of tests to the population is variable.
3. The issue of cost containment is not as important as it was when these criteria were developed.
4. Today's testing may have widespread implications.
5. Screening tests are developing very rapidly.
1,2,4,5
Rationale 1: The discovery of new genetic diseases and the development of the capacity to test for them have changed thinking on what are "important health problems." Should we test for every possible problem? Who decides which problems are important?
Rationale 2: What is acceptable to one population may not be to another.
Rationale 3: Cost containment continues to be a major concern for all of health care.
Rationale 4: In 1968, when Wilson and Jungner's criteria were established, screening was limited primarily to results that affected the infant's health. Today's screening includes genetic testing that may have implications for other generations.
Rationale 5: Tests are developing rapidly, and time is needed to test their validity and reliability.
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