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全科医生在国家宫颈癌筛查计划持续成功实施中的作用。

The role of general practitioners in the continued success of the National Cervical Screening Program.

作者信息

Munro Aime, Pavicic Heidi, Leung Yee, Westoby Victoria, Steel Nerida, Semmens James, O'Leary Peter

机构信息

BExSc, MSc, PhD candidate, Women's Health Clinical Care Unit, WA Cervical Cancer Prevention Program, Perth, WA.

出版信息

Aust Fam Physician. 2014 May;43(5):293-6.

PMID:24791771
Abstract

BACKGROUND

As the gateway to healthcare for Australian women, general practitioners (GPs) are critical to the success of the National Cervical Screening Program (NCSP). Despite an enviable record - halving the incidence and mortality of cervical cancer - in 2010-2011 more than 2.7 million women did not comply with the recommended 2-yearly screening interval.

OBJECTIVE

General practice strategies are presented to assist GPs in encouraging all women, in particular, high-risk and vulnerable women, to participate in cervical screening.

DISCUSSION

GPs play a crucial part in addressing the demographic, psychosocial and healthcare barriers that prevent women's participation in cervical screening. Encouraging uptake of the human papillomavirus vaccine and educating all patients on the importance of continued participation in cervical screening is essential for further decreasing the prevalence of this disease through early detection and treatment of cervical abnormalities.

摘要

背景

作为澳大利亚女性医疗保健的入口,全科医生(GPs)对于国家宫颈筛查计划(NCSP)的成功至关重要。尽管取得了令人羡慕的成绩——使宫颈癌的发病率和死亡率减半——但在2010 - 2011年,超过270万女性未遵守建议的每两年一次的筛查间隔。

目的

提出全科医疗策略,以协助全科医生鼓励所有女性,特别是高危和弱势女性参与宫颈筛查。

讨论

全科医生在解决阻碍女性参与宫颈筛查的人口统计学、心理社会和医疗保健障碍方面发挥着关键作用。鼓励接种人乳头瘤病毒疫苗并向所有患者宣传持续参与宫颈筛查的重要性,对于通过早期发现和治疗宫颈异常进一步降低该疾病的患病率至关重要。

相似文献

1
The role of general practitioners in the continued success of the National Cervical Screening Program.全科医生在国家宫颈癌筛查计划持续成功实施中的作用。
Aust Fam Physician. 2014 May;43(5):293-6.
2
The Effect of Cervical Smears Performed by General Practitioners on the Cervical Cancer Screening Rate of their Female Patients: A Claim Database Analysis and Cross-Sectional Survey.《初级保健医生实施宫颈抹片检查对女性患者宫颈癌筛查率的影响:一项理赔数据库分析和横断面调查》
J Womens Health (Larchmt). 2018 Jul;27(7):933-938. doi: 10.1089/jwh.2017.6656. Epub 2018 Mar 27.
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[HPV vaccine and cervical cancer prevention in general practice. Survey conducted among general practitioners in the French departments of Eure-et-Loir and Cher].
Rev Prat. 2008 Dec 15;58(19 Suppl):25-31.
4
General practitioners' perception of risk factors for cervical cancer development: consequences for patient education.全科医生对宫颈癌发生风险因素的认知:对患者教育的影响
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HPV vaccination: effects on cervical screening.人乳头瘤病毒疫苗接种:对宫颈筛查的影响
Nurs Times. 2014;110(24):19-21.
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Motivators for women to attend cervical screening: the influential role of GPs.女性参加宫颈癌筛查的动机:全科医生的影响作用。
Fam Pract. 2014 Aug;31(4):475-82. doi: 10.1093/fampra/cmu029. Epub 2014 Jun 12.
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[Summary of the practice guideline 'Prevention and early diagnosis of cervical cancer' of the Dutch College of General Practitioners].[荷兰全科医生学院“宫颈癌的预防与早期诊断”实践指南总结]
Ned Tijdschr Geneeskd. 2009;153:A517.
8
Human papillomavirus vaccination and subsequent cervical cancer screening in a large integrated healthcare system.大型综合医疗保健系统中的人乳头瘤病毒疫苗接种及后续宫颈癌筛查
Am J Obstet Gynecol. 2017 Feb;216(2):151.e1-151.e9. doi: 10.1016/j.ajog.2016.10.006. Epub 2016 Oct 14.
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Sociodemographic inequalities in sexual activity and cervical cancer screening: implications for the success of human papillomavirus vaccination.社会人口因素导致的性行为和宫颈癌筛查不平等:对人乳头瘤病毒疫苗接种成功的影响。
Cancer Epidemiol Biomarkers Prev. 2013 Apr;22(4):641-52. doi: 10.1158/1055-9965.EPI-12-1173.
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Modeling the impact of screening policy and screening compliance on incidence and mortality of cervical cancer in the post-HPV vaccination era.建立 HPV 疫苗接种后时代宫颈癌发病率和死亡率的筛查政策和筛查依从性影响模型。
J Public Health (Oxf). 2012 Dec;34(4):539-47. doi: 10.1093/pubmed/fds040. Epub 2012 Jun 15.

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The experience of under-screened and never-screened participants using clinician-supported self-collection cervical screening within the Australian National Cervical Screening Program.澳大利亚国家宫颈癌筛查计划中,经临床医生支持的自我采集宫颈癌筛查在未筛查和从未筛查过的参与者中的应用体验。
Womens Health (Lond). 2022 Jan-Dec;18:17455065221075905. doi: 10.1177/17455065221075905.
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Barriers and attitudes towards cervical cancer screening in primary healthcare in Poland - doctors' perspective.
波兰初级医疗保健中宫颈癌筛查的障碍和态度——医生的观点。
BMC Fam Pract. 2021 Dec 30;22(1):260. doi: 10.1186/s12875-021-01612-8.
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Does mammogram attendance influence participation in cervical and colorectal cancer screening? A prospective study among 1856 French women.乳腺 X 光检查的参与是否会影响宫颈癌和结直肠癌的筛查参与率?一项针对 1856 名法国女性的前瞻性研究。
PLoS One. 2018 Jun 21;13(6):e0198939. doi: 10.1371/journal.pone.0198939. eCollection 2018.
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Improving self-management of cancer risk factors, underscreening for cancer and depression among general practice patients: study protocol of a randomised controlled trial.改善全科医疗患者癌症风险因素的自我管理、癌症筛查不足及抑郁症状况:一项随机对照试验的研究方案
BMJ Open. 2016 Nov 18;6(11):e014782. doi: 10.1136/bmjopen-2016-014782.