Olesen F, Holm M
Institute of General Practice, University of Aarhus, Denmark.
Scand J Prim Health Care. 1990 Jul;8(2):69-73. doi: 10.3109/02813439008994933.
Do various General Practice factors influence the participation rate (PR) in the cytological investigation for preventing cancer of the cervix uteri in counties without systematized screening? This was studied in the county of Aarhus, Denmark, where there are no systematic cytological examinations (CE). We studied a random sample of 2023 women aged 27.5 years to 47.5 years. Essential differences in PR depended on various practice characteristics. Practices with the highest average use of CE services, as counted by the Regional Health Authorities, also had the best PR. The relative chance of being sufficiently examined was almost twice as great among patients in active practices compared with other practices. Furthermore, practices with at least one female practitioner and practices that wanted the introduction of systematic screening had a significantly higher PR. There was a slightly higher PR for patients in large practices. Type of practice, i.e. whether single or partnership, and the individual practitioner's attitude to the efficiency of the present opportunistic screening were not related to the PR. Finally, a slightly lower PR was found among patients in the city of Aarhus, whereas the PR in the major cities of the county as a whole did not differ from the coverage rate in the county in general. It is concluded that the Health Authorities' average figure for CE-use/1000 women in the individual practice is the most significant factor that determines the CE rate for any given patient. Variation in the PR in different practices is unacceptably large if all the women are to receive a uniform CE screening offer.
在没有系统化筛查的县，各种全科医疗因素是否会影响子宫颈癌细胞学检查的参与率（PR）？我们在丹麦的奥胡斯县对此进行了研究，该县没有系统的细胞学检查（CE）。我们研究了2023名年龄在27.5岁至47.5岁之间的女性的随机样本。PR的本质差异取决于各种医疗实践特征。根据地区卫生当局统计，CE服务平均使用率最高的医疗实践，其PR也最好。与其他医疗实践相比，活跃医疗实践中的患者接受充分检查的相对可能性几乎高出一倍。此外，至少有一名女医生的医疗实践以及希望引入系统筛查的医疗实践，其PR显著更高。大型医疗实践中的患者PR略高。医疗实践类型，即单人执业还是合伙执业，以及个体医生对当前机会性筛查效率的态度与PR无关。最后，奥胡斯市的患者PR略低，而该县主要城市的整体PR与全县的覆盖率没有差异。结论是，卫生当局统计的各医疗实践中CE使用量/1000名女性的平均数字是决定任何给定患者CE率的最重要因素。如果要让所有女性都能获得统一的CE筛查服务，不同医疗实践中PR的差异大到令人无法接受。
