Olesen F
Scand J Prim Health Care. 1986 Feb;4(1):59-62. doi: 10.3109/02813438609013973.
Two different organizational methods of Pap smear examination in prevention of cancer colli uteri are compared in two Danish counties. In one county the method was planned as a pure case finding model; in the other county a modified screening approach was used. Resources were measured as the number of Pap smear examinations per 1 000 women of risk age (25-54 years). They were nearly identical in the two counties. The number of sufficiently investigated women, defined as examined by a Pap smear at least once within a 3-year period, was much larger in the county using the screening model than in the other county. Furthermore the proportion of women sufficiently investigated varied greatly in the county using the case finding model. Even the most active one-fourth of the doctors in this county did not obtain the same percentage of examined women as the average in percentage of examined women in the county with a regular screening programme, even though this active group of doctors had a resource consumption about twice the average for this county. It is concluded that the Pap smear method when aiming at a maximum interval between smears in individual women of 3 years, can be conveniently carried out in general practice by using a case finding model in combination with a screening programme together with a systematized, centrally computer-surveyed procedure, in order to avoid overlapping and exclude women not examined as well as possible.
在丹麦的两个县比较了巴氏涂片检查预防子宫颈癌的两种不同组织方法。在一个县，该方法被规划为纯粹的病例发现模式；在另一个县，则采用了改良的筛查方法。资源以每1000名处于危险年龄（25 - 54岁）女性的巴氏涂片检查数量来衡量。这两个县的资源量几乎相同。在3年内至少接受过一次巴氏涂片检查的充分调查女性数量，在采用筛查模式的县比另一个县要多得多。此外，在采用病例发现模式的县，充分调查的女性比例差异很大。即使该县最积极的四分之一医生所检查的女性百分比，也没有达到定期筛查项目县的平均检查女性百分比，尽管这一积极的医生群体的资源消耗约为该县平均水平的两倍。结论是，当以每位女性涂片的最大间隔时间为3年为目标时，巴氏涂片检查方法可以通过将病例发现模式与筛查项目相结合，并采用系统化的、由中央计算机调查的程序，方便地在全科医疗中实施，以避免重叠并尽可能排除未接受检查的女性。
