Patnick J
NHS Cancer Screening Programmes, The Manor House, 260 Ecclesall Road South, S11 9PS, Sheffield, UK.
Eur J Cancer. 2000 Nov;36(17):2205-8. doi: 10.1016/s0959-8049(00)00310-5.
Cervical screening in England is provided free of charge by the National Health Service to all women aged 20-64 years. Computerised call and recall was introduced in 1988 and women receive an invitation every 3-5 years. Smears are taken by the local family doctor, by his/her nurse or at community clinics. Approximately 85% of English women have had a smear in the last 5 years. Quality assurance programmes have recently been established for laboratories and colposcopy clinics and lessons have been learned from previous failures of the service. The incidence has fallen from 16 per 100000 in 1986 to 9.3 per 100000 in 1997. Mortality is currently falling by 7% per year.
在英格兰，国家医疗服务体系为所有年龄在20至64岁的女性提供免费的子宫颈癌筛查。1988年引入了计算机化的呼叫和召回系统，女性每3至5年收到一次邀请。涂片检查由当地家庭医生、其护士或在社区诊所进行。在过去5年中，约85%的英国女性进行过涂片检查。最近已经为实验室和阴道镜检查诊所制定了质量保证计划，并从该服务先前的失败中吸取了教训。发病率已从1986年的每10万人16例降至1997年的每10万人9.3例。目前死亡率正以每年7%的速度下降。
