Arillo-Santillán E, Lazcano-Ponce E, Peris M, Salazar-Martínez E, Salmerón-Castro J, Alonso-De Ruiz P
Instituto Nacional de Salud Pública (INSP), México.
Salud Publica Mex. 2000 Jan-Feb;42(1):34-42.
Several studies have shown the importance of health care professionals as predictors of the use of cervical cancer screening (CCS).
A cross-sectional study of 520 health care professionals in the State of Morelos during 1998, in order to evaluate and quantify their level of knowledge on the impact, etiology, screening, diagnosis and treatment of cervical cancer. A 1 to 10 scale questionnaire was given, and the sample included family medicine specialists, general practitioners, specialist and general nurses, and social workers. Statistical analysis included analysis of variance and 95% confidence intervals.
A knowledge mean of 4.74 (95% CI 4.57-4.88) was observed for a scale of 10; specialist physicians scored higher (mean 5.21, 95% CI 4.81-5.60) than social workers (mean 3.07, 95% CI 2.31-3.82). Periodicity of the Pap test in most cases was less than 1 year and there was poor consensus about the age period during which the Pap test should be obtained. The knowledge level was lower when trying to identify etiologic aspects and treatment perspectives.
The results of this study show that, besides the improvement of undergraduate academic programs, it is necessary to improve educational interventions for health care professionals through the updating, recycling, training, health education, and continuing medical education, among others, to promote professional competence and thus improve the quality of medical care.
多项研究表明，医疗保健专业人员在预测宫颈癌筛查（CCS）的使用方面具有重要作用。
1998年对莫雷洛斯州的520名医疗保健专业人员进行了一项横断面研究，以评估和量化他们对宫颈癌的影响、病因、筛查、诊断和治疗的知识水平。采用了一份1至10分的问卷，样本包括家庭医学专家、全科医生、专科护士和普通护士以及社会工作者。统计分析包括方差分析和95%置信区间。
在10分制中，知识平均分为4.74（95%置信区间4.57 - 4.88）；专科医生得分较高（平均5.21，95%置信区间4.81 - 5.60），高于社会工作者（平均3.07，95%置信区间2.31 - 3.82）。在大多数情况下，巴氏试验的周期小于1年，对于应进行巴氏试验的年龄阶段，共识较差。在试图确定病因方面和治疗观点时，知识水平较低。
本研究结果表明，除了改进本科课程外，还需要通过更新、再培训、培训、健康教育和继续医学教育等方式，改进针对医疗保健专业人员的教育干预措施，以提高专业能力，从而提高医疗质量。
