基层医疗中子宫颈癌筛查的组织安排。
The organization of cervical screening in general practice.
作者信息
Havelock C, Edwards R, Cuzick J, Chamberlain J
出版信息
J R Coll Gen Pract. 1988 May;38(310):207-11.
Well organized cervical screening in general practice can have considerable clinical and financial rewards. Yet in a randomized survey of general practitioners in the United Kingdom only 43% operated a system for cervical screening which allows previously untested women to be identified and invited for testing.A younger age of general practitioner, a more rural practice, a larger practice size, employment of a practice nurse, a belief in the effectiveness of cervical screening and a positive view of the time spent on screening were all strong predictors of an organized approach to cervical screening within a practice. Being female or having a female partner was not statistically associated with systematic screening. The results demonstrate a need for education within general practice which emphasizes the relevance and significance of cervical screening and the essential contribution that can be made by each individual general practitioner to the success of the whole cervical screening programme.
在全科医疗中开展有序的宫颈癌筛查能带来可观的临床和经济收益。然而，在英国针对全科医生的一项随机调查中，只有43%的医生采用了宫颈癌筛查系统，该系统能识别出此前未接受检测的女性并邀请她们进行检测。全科医生年龄较轻、执业地点更偏远、诊所规模更大、雇佣了执业护士、相信宫颈癌筛查的有效性以及对筛查所花费时间持积极态度，这些都是诊所采用有序宫颈癌筛查方法的有力预测因素。女性全科医生或有女性伴侣与系统性筛查在统计学上并无关联。结果表明，全科医疗领域需要开展教育，强调宫颈癌筛查的相关性和重要性，以及每位全科医生对整个宫颈癌筛查项目成功所做出的重要贡献。
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