Journal List > J Korean Med Assoc > v.53(5) > 1042268

Lee and Lee: National Health Screening Program of Korea


National Health Screening Program of Korea for chronic diseases was started in 1980. During the last 20 years, the problems of the program has been discussed. The problems discusses were as follows: (1) The current guideline is based on weak rationale, without concrete evidence-based decisions (2), The goal of the screening program was not set based on evidence, and there has been no evaluation for the effectiveness of the program (3), the program consists of test items without the diseases (4), the program was run by separate municipalities, so it was not organized for the subjects, and finally (5), there has been no remarkable reduction in incidence or prevalence of the related diseases. To improve the program, there have been many efforts including new national screening program called 'National screening program for the transitional period' in 2007 and launching the National Health Screening Act in 2009. The brief history of the National Health Screening program of Korea was reviewed. The Goal of the National Screening program is to reduce the mortality and/or morbidity of the target disease. To achieve this goal, the basic aspects of the Program should be fulfilled. Proper Guidelines, high screening uptake rate, high quality, appropriate follow-up program were discussed. And national screening programs are not so commonly provided internationally. Only Japan provide national health screening program and Japanese program was renovated in 2008. The aim, contents and the procedure of the Japanese program was reviewed. Finally, the aspects that should be discussed for the improvement of the national health screening program was listed.


1. Mausner JS, Kramer S. Epidemiology-an introductory text. 1985. 2nd ed. Philadelphia: W.B. Saunders company.
2. Reintgen Douglas S., Clark Robert A.. Cancer screening. 1996. Mosby;1–19.
3. IARC Handbooks of Cancer Prevention Volume 10 Cervix Cancer Screening. 2005. IARC.
4. Arbyn M, Rebolj M, De Kok IM, Fender M, Becker N, O'Reilly M, Andrae B. The challenges of organising cervical screening programmes in the 15 old member states of the European Union. Eur J Cancer. 2009. 45:2671–2678.
5. Mraveman Paula A., Tarimo E.. Screening in primary health care:setting priorities with limited resources. 1994. Geneva: World Health Organization;29–76.
6. Lazcano-Ponce EC, Moss S, Alonso de Ruíiz , Salmerón Castro J, Hernández Avila M. Cervical cancer screening in developing countries: why is it ineffective? The case of Mexico. Arch Med Res. 1999. 30:240–250.
7. Kramer BS, Gohagan JK, Prorok PC, Dekker M. Cancer Screening: Theory and Practice. 1999. New York: Inc.
8. Lee WC, et al. Strategies to improve the National Screening Program. 2006. Seoul: Ministry of Health and Welfare.
9. Strong K, Wald N, Miller A, Alwan A. Current concepts in screening for noncommunicable disease: World Health Organization Consultation Group Report on methodology of noncommunicable disease screening. J Med Screen. 2005. 12:12–19.
10. U.S. Preventive Services Task Force. Guide to clinical preventive services. 2002. 2nd and 3rd eds. McLean, Virginia: International Medical Publishing.
12. Lee WC, et al. Behavioral pattern for participating national health screening program and national cancer screening program. 2003. Seoul: National Health Insurance Corporation.
13. Perry N, Broeders M, Wolf C, Tornberg S, Halland R, Karsa LV, Prthaar E. European guidelines for quality assurance in breast cancer screening and diagnosis. 2006. 4th ed. Belgium: European Communities.
14. National Health Insurance Corporation. 2009 Analysis of health screening results. 2010.
15. Lee JS, Lee WC, Lee KS, Koh KW, Choi EJ, Park CM. The New Health Promotion Strategy in Japan-focusing on lifestyle related diseases. Journal of Korean Society for Health Education and Promotion. 2008. 25:167–181.
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