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List of all projects Development and implementation of methodology for the assessment of effectiveness of personalised invitations of citizens to Czech cancer screening programmes

Coordinator Coordinator: Májek Ondřej

Duration Duration: 2014–2014

Contracting authority Contracting authority: Ministry of Health of the Czech Republic

Development of a system for the monitoring of personalised invitations as part of the information support for Czech cancer screening programmes.


In 2014, the Ministry of Health of the Czech Republic (MZ CR) launched the project “System for the support of prevention of selected cancers in the Czech Republic – screening programmes”, aiming to invite Czech citizens who had not participated in cancer screening programmes in the long term to screening examinations. In general, invitations are sent out and monitored by means of the so-called IT manual, which was developed in 2013 by the Institute of Biostatistics and Analyses of the Masaryk University in cooperation with MZ CR and health insurance companies. As part of the project “Development and implementation of methodology for the assessment of effectiveness of personalised invitations of citizens to Czech cancer screening programmes”, methodology and processes aimed at the aggregation of data from health insurance companies on personalised invitations were developed, a detailed assessment of obtained data by this methodology was performed, and regular monitoring reports for MZ CR were prepared. The methodology and results of the project were discussed with representatives of expert medical societies and health insurance companies.

More than 1.6 million persons were invited to screening examinations from January 2014 to September 2014, which corresponds to approximately 150,000 to 200,000 invitations sent out by health insurance companies each month. Most recipients of personalised invitations were encouraged to participate in the colorectal cancer screening programme, which had the lowest participation rate: invitations were sent to more than 1.25 million Czech men and women aged 50–70. As regards the cervical cancer screening programme, 14.8% out of almost 3.4 million Czech women aged 25–70 were invited during the 9 months evaluated in the analysis. As for the breast cancer screening programme, 23.9% out of 1.8 million Czech women eligible for this examination were invited during the same period. Invitations to colorectal cancer screening were sent to a much higher proportion of the target population: 44.1% out of 2.8 million persons. The participation rate in the cervical cancer screening programme, where a relatively small proportion of women refusing to participate in the long term was invited, was 8.1%. Higher participation rates were observed in two other cancer screening programmes: 12.6% in breast cancer screening and 14.2% in colorectal cancer screening.

Apart from monitoring reports, project results were published in several journals, presented at a dedicated symposium and at several conferences; additionally, materials for press releases on the project of personalised invitations were prepared for the Ministry of Health of the Czech Republic. IBA MU has also continuously updated three websites dedicated to cancer screening (www.mamo.cz, www.kolorektum.cz and www.cervix.cz). A comprehensive report on the current state of Czech cancer screening programmes in 2014 was published as a special issue of the journal Klinická onkologie. It can be expected that the current system of personalised invitations will raise cancer screening awareness among the Czech public and that it will contribute to higher participation rates in cancer screening programmes, which demonstrably decrease cancer mortality.

  • Funding: The project was supported by the Ministry of Health of the Czech Republic within the programme “National Health Programme – Health Support Projects”. The project is registered with the identifier 36/14/NAP.
  • Brief overview of results: A comprehensive report on the current state of Czech cancer screening programmes in 2014, including interim results of the project of personalised invitations, was published as a special issue of the journal Klinická onkologie (Klinická onkologie 2014; 27(Supplementum 2): 2S3–2S137). The entire report is only available in Czech language; however, abstracts in English are available.


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