宫颈筛查能做到多全面？珀斯和金罗斯郡针对20至60岁女性的电话筛查项目结果。

How complete can cervical screening be? The outcome of a call screening programme for women aged 20-60 years in Perth and Kinross.

作者信息

Robertson A J, Reid G S, Stoker C A, Bissett C, Waugh N, Fenton I, Rowan J, Halkerston R

机构信息

Department of Pathology, Perth Royal Infirmary, Scotland.

出版信息

Cytopathology. 1990;1(1):3-12. doi: 10.1111/j.1365-2303.1990.tb00320.x.

DOI:10.1111/j.1365-2303.1990.tb00320.x

PMID:2130997

Abstract

In this paper a computer system for cervical screening call and recall based on the Community Health Index (CHI) population data-base is described. It allows the unscreened population to be identified and located on an individual general practice basis. The results of the call programme on 9517 women aged 20-60 years listed on the CHI and with no record of a cervical smear is described. There was a 24% smear uptake in the call programme which meant that after the call programme the total population cover had risen from 71% to 78%. In addition, if women with a valid reason are excluded, and the data-base corrected for women no longer in the area, the true cover rises to 88%. An analysis of the percentage cover in each GP practice is described with the implications for implementation of screening targets for primary care.

摘要

本文描述了一种基于社区健康指数（CHI）人口数据库的子宫颈癌筛查呼叫与召回计算机系统。它能够在个体全科医疗的基础上识别并定位未接受筛查的人群。文中介绍了针对CHI上列出的9517名年龄在20至60岁且无子宫颈涂片记录的女性开展呼叫计划的结果。呼叫计划中的涂片接受率为24%，这意味着在呼叫计划实施后，总体覆盖率从71%升至78%。此外，如果排除有正当理由的女性，并对数据库中不再在该地区的女性数据进行校正，实际覆盖率将升至88%。文中还描述了对每个全科医疗诊所覆盖率百分比的分析以及对初级保健筛查目标实施的影响。