选择不进行宫颈癌筛查：不进行巴氏试验的医生。
Opting out of cervical cancer screening: physicians who do not perform pap tests.
作者信息
Cooper Crystale Purvis, Saraiya Mona
机构信息
Soltera Center for Cancer Prevention and Control, Tucson, Arizona.
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia.
出版信息
Am J Prev Med. 2014 Sep;47(3):315-9. doi: 10.1016/j.amepre.2014.04.018. Epub 2014 Jun 18.
BACKGROUND
Some primary care physicians choose not to provide cervical cancer screening.
PURPOSE
To investigate the characteristics and screening beliefs of family practitioners and internists who treat adult women in outpatient settings but perform no routine Pap tests.
METHODS
A survey of U.S. primary care physicians (N=892) was conducted and analyzed in 2012.
RESULTS
Participants who performed no Pap tests during a typical month (17.2% of family practitioners and 44.3% of internists) generally reported that they referred patients to gynecologists for cervical cancer screening. The most significant predictor of Pap test non-provision was agreement that patients are best served by having Pap tests performed by gynecologists (AOR=8.80, 95% CI=5.58, 13.88, p<0.001).
CONCLUSIONS
The perception that patients benefit from cervical cancer screening administered by gynecologists may deter screening in primary care settings, resulting in missed opportunities to offer screening to women who are never or rarely screened.
背景
一些初级保健医生选择不提供宫颈癌筛查。
目的
调查在门诊环境中治疗成年女性但不进行常规巴氏试验的家庭医生和内科医生的特征及筛查观念。
方法
2012年对美国初级保健医生（N = 892）进行了一项调查并进行分析。
结果
在典型月份不进行巴氏试验的参与者（17.2%的家庭医生和44.3%的内科医生）普遍报告称他们会将患者转诊给妇科医生进行宫颈癌筛查。不进行巴氏试验的最显著预测因素是认同由妇科医生进行巴氏试验能为患者提供最佳服务（比值比=8.80，95%置信区间=5.58，13.88，p<0.001）。
结论
认为患者受益于由妇科医生进行宫颈癌筛查的观念可能会阻碍初级保健机构中的筛查工作，导致错过为从未或很少接受筛查的女性提供筛查的机会。
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