Calam B, Norgrove L, Brown D, Wilson M A
Department of Family Practice, University of British Columbia.
Can Fam Physician. 1999 Feb;45:355-60.
First Nations women in British Columbia, especially elders, are underscreened for cancer of the cervix compared with the general population and are much more likely to die of the disease than other women.
To develop a pilot program, in consultation with community representatives, to address the Pap screening needs of First Nations women 40 years and older on a rural reserve.
Identification of key links to the population; consultation with the community to design an outreach process; identification of underscreened women; implementation of community Pap screening clinics; evaluation of the pilot program.
We developed a Pap screening outreach program that marked a departure from the usual screening approach in the community. First Nations community health representatives were key links for the process that involved family physicians and office staff at a local clinic on a rural reserve. Participation rate for the pilot program was 48%, resulting in an increase of 15% over the previously recorded screening rate for this population. More screening clinics of this type and evaluation for sustainability are proposed.
与普通人群相比，不列颠哥伦比亚省的原住民女性，尤其是老年女性，宫颈癌筛查率较低，且死于该疾病的可能性比其他女性高得多。
与社区代表协商制定一个试点项目，以满足农村保留地40岁及以上原住民女性的巴氏涂片筛查需求。
确定与该人群的关键联系；与社区协商设计外展流程；识别筛查不足的女性；实施社区巴氏涂片筛查诊所；评估试点项目。
我们制定了一个巴氏涂片筛查外展项目，该项目与社区通常的筛查方法不同。原住民社区健康代表是该过程的关键联系，该过程涉及农村保留地当地诊所的家庭医生和办公室工作人员。试点项目的参与率为48%，比该人群之前记录的筛查率提高了15%。建议开展更多此类筛查诊所并评估其可持续性。
