title: Variation in uptake of serum screening: the role of service delivery.
abstract: The present study aimed to determine the extent to which variation in the uptake of serum screening for Down syndrome reflects variation in the way the test is offered. A higher uptake of serum screening was seen at hospitals that offered the blood test as part of a routine visit than at those where screening required a separate visit. The type of screening test offered and whether a reminder was sent were not associated with uptake. Given the consensus that undergoing screening should be the result of an informed choice, further research is needed to determine which methods of offering serum screening facilitate and which impede informed choice.
authors.affiliation: Psychology and Genetics Research Group, King's College London, London, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dormandy
authors.forename: Susan
authors.initials: S
authors.lastname: Michie
authors.forename: John
authors.initials: J
authors.lastname: Weinman
authors.forename: Theresa M
authors.initials: TM
authors.lastname: Marteau
mesh_terms: D003695:Delivery of Health Care / Q000379:methods*; D004314:Down Syndrome / Q000097:blood*; D005260:Female; D006761:Hospitals; D006801:Humans; D010174:Pamphlets; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D011247:Pregnancy; D011296:Prenatal Diagnosis