Laedtke T W, Dignan M
Department of Family and Community Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27157.
South Med J. 1992 Jan;85(1):5-8. doi: 10.1097/00007611-199201000-00003.
This paper reports results of a project designed to examine factors related to compliance with referral for follow-up and treatment of cervical dysplasia. Women studied had cervical dysplasia diagnosed by Pap smear between May 1989 and April 1990. These women had regular follow-up at the gynecology clinic of the Reynolds Health Center in Winston-Salem or at one of 14 county health departments in northwestern North Carolina. Data were collected by chart review, and included age, race, place of residence, marital status, parity/gravidity, education, previous papillomavirus infections, method of payment, and previous Pap smear results. Patients were traced through the treatment protocol, and compliance was assessed at each appointment. In these women of low socioeconomic status, approximately one third of those referred for treatment of dysplasia were noncompliant with referral.
本文报告了一个项目的结果，该项目旨在研究与宫颈发育异常后续转诊及治疗依从性相关的因素。所研究的女性在1989年5月至1990年4月期间通过巴氏涂片被诊断为宫颈发育异常。这些女性在温斯顿 - 塞勒姆的雷诺兹健康中心妇科诊所或北卡罗来纳州西北部的14个县卫生部门之一接受定期随访。通过病历审查收集数据，包括年龄、种族、居住地、婚姻状况、产次/妊娠次数、教育程度、既往乳头瘤病毒感染情况、支付方式以及既往巴氏涂片结果。通过治疗方案追踪患者，并在每次预约时评估依从性。在这些社会经济地位较低的女性中，约三分之一被转诊接受发育异常治疗的患者未遵循转诊建议。
