Luque John S, Maupin Jonathan N, Ferris Daron G, Guevara Condorhuaman Wendy S
Department of Public Health Sciences, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
School of Human Evolution and Social Change, Arizona State University, Tempe, AZ.
Patient Prefer Adherence. 2016 Oct 18;10:2107-2116. doi: 10.2147/PPA.S119886. eCollection 2016.
Peru is characterized by high cervical cancer incidence and mortality rates. The country also experiences significant gaps in quality cervical cancer screening coverage for the population.
This descriptive mixed methods study conducted in Cusco, Peru, aimed to assess the attitudes and perceptions of medical staff, health care workers, and patients toward a cervical cancer screening program that included both clinic-based and community outreach services conducted by a nongovernmental organization clinic (CerviCusco). The study also explored patient knowledge and attitudes around cervical cancer and about the human papillomavirus (HPV) to inform patient education efforts.
The study employed structured interviews with key informants (n=16) primarily from CerviCusco, which provides cervical cancer prevention, screening, diagnosis and treatment services, and surveys with a sample of patients (n=30) receiving services at the clinic and at screening campaigns.
The majority of key informant medical staff participants felt that the general public had a very negative view of government health services. One theme running throughout the interviews was the perception that the general population lacked a culture of preventive health care and would wait until symptoms were severe before seeking treatment. Regarding services that were received by patients at CerviCusco, the participants responded that the prices were reasonable and more affordable than some private clinics. Patients attending the rural health campaigns liked that the services were free and of good quality.
CerviCusco has demonstrated its capacity to provide screening outreach campaigns to populations who had not previously had access to liquid-based cytology services. The finding that patients had generally low levels of knowledge about cervical cancer and the HPV vaccine prompted the development of culturally and linguistically appropriate educational and promotional materials to improve the educational component of the periodic campaigns conducted primarily in rural areas of Andean Peru.
秘鲁的宫颈癌发病率和死亡率很高。该国在宫颈癌高质量筛查覆盖人群方面也存在显著差距。
这项在秘鲁库斯科进行的描述性混合方法研究旨在评估医务人员、医护人员和患者对一项宫颈癌筛查计划的态度和看法，该计划包括由一个非政府组织诊所（CerviCusco）开展的基于诊所和社区外展服务。该研究还探讨了患者对宫颈癌和人乳头瘤病毒（HPV）的知识及态度，以为患者教育工作提供信息。
该研究对主要来自CerviCusco的关键信息提供者（n = 16）进行了结构化访谈，CerviCusco提供宫颈癌预防、筛查、诊断和治疗服务，并对在诊所和筛查活动中接受服务的患者样本（n = 30）进行了调查。
大多数关键信息提供者医务人员参与者认为，普通公众对政府卫生服务持非常负面的看法。贯穿访谈的一个主题是，人们认为普通人群缺乏预防性医疗保健文化，会等到症状严重才去寻求治疗。关于患者在CerviCusco接受的服务，参与者表示价格合理，比一些私人诊所更实惠。参加农村健康活动的患者喜欢这些服务是免费且质量好。
CerviCusco已证明其有能力为以前无法获得液基细胞学服务的人群开展筛查外展活动。患者对宫颈癌和HPV疫苗的知识普遍较低这一发现促使开发了符合文化和语言习惯的教育及宣传材料，以改善主要在秘鲁安第斯山脉农村地区开展的定期活动的教育部分。
