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Mammography is the only useful examination in screening for breast cancer. Mortality from breast cancer can be reduced if women go regularly for a screening mammography. Moreover, it is still the key examination in diagnosis of breast diseases and in the follow-up of patients treated for breast cancer. Pain with mammography can deter women from going for regular screening or follow-up; therefore, it is important to reduce pain experience or discomfort from mammography. In this study we evaluate the impact of the "radiographer" on the pain risk during mammography by analysing questionnaires filled in by women and radiographers. Study results reveal that the opinion of the radiographer, the information and communication during the examination and the number of years of experience are important factors in pain and discomfort experience. The attitude of the radiographer plays an important role in the pain experience.

This articles explores the role of the concept of ‘quality of life’ within the current health perspective and its implications towards the organization of a health care system. First, the challenge of the classic biomedical paradigm within health sciences by the introduction of a holistic and integrative perspective is discussed. The traditional paradigm is critiqued for its shortcomings in coping with more complex problems like chronic diseases. Second, the introduction of the concept of ‘quality of life’ is placed within this evolution. Both the conceptual difficulties and the strengths of the concept in dealing with new health related problems are considered. Third, the implications of this evolution for the organization of a health care system are looked upon. Key question in this discussion is the health promoting capabilities of a system which is based upon multidisciplinarity. It is argued that a combination of professionalism and personal experiences is crucial for a modern health care system.