Buntrock Ahna, Bormann Jordan, Kazi Stephanie, Waligoske Kate, Wallum Michael, Beard Mark
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2020 Oct;73(10):470-472.
The Coyote Clinic is a student-run clinic that provides free services to Sioux Falls residents without insurance. It has not historically provided routine women's health screenings. The project addressed this lack of preventative care. We aimed to increase the percentage of female patients that are up to date on Papanicolaou (Pap) smears, mammograms, and human papillomavirus (HPV) vaccines through the implementation of screening questions.
A screening questionnaire was created and asked to female patients between the ages of 18-65 about the dates and results of their last Pap smear, mammogram, and the administration of any HPV vaccine.
27 patients answered the questions. Fifty-two percent were Caucasian, 26 percent Hispanic, 15 percent African American, and 7 percent Middle Eastern. Two patients were eligible for HPV vaccination: one had not received the vaccination and the other was unknown. All 27 women were eligible for Pap smears. Seventy-six percent had normal results, 19 percent were unsure of their results, and 5 percent had abnormal results. Eight patients were eligible for mammograms: five were up to date, two were tested in the last three years, and one had an unknown test date.
The majority of eligible female patients were up to date on Pap smears and mammograms. The health maintenance questionnaire was a valuable resource for patient care, patient health literacy, and medical student education.
郊狼诊所是一家由学生运营的诊所，为没有保险的苏福尔斯居民提供免费服务。该诊所历来未提供常规的女性健康筛查。本项目解决了这一预防性护理缺失的问题。我们旨在通过实施筛查问题，提高巴氏涂片检查、乳房X光检查和人乳头瘤病毒（HPV）疫苗接种均达最新标准的女性患者比例。
创建了一份筛查问卷，询问年龄在18至65岁之间的女性患者其上次巴氏涂片检查、乳房X光检查的日期和结果，以及是否接种过任何HPV疫苗。
27名患者回答了问题。其中52%为白种人，26%为西班牙裔，15%为非裔美国人，7%为中东人。两名患者符合HPV疫苗接种条件：一名未接种，另一名情况不明。所有27名女性均符合巴氏涂片检查条件。76%的检查结果正常，19%不确定结果，5%结果异常。八名患者符合乳房X光检查条件：五名检查及时，两名在过去三年中接受过检查，一名检查日期不明。
大多数符合条件的女性患者巴氏涂片检查和乳房X光检查及时。健康维护问卷是患者护理、患者健康素养和医学生教育的宝贵资源。
