Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, Northern Territory.
VCS Population Health, VCS Foundation, Victoria.
Aust N Z J Public Health. 2021 Apr;45(2):150-157. doi: 10.1111/1753-6405.13084. Epub 2021 Mar 8.
To investigate perspectives of primary health care providers (HCPs) on providing cervical screening for Aboriginal and Torres Strait Islander women, who experience a higher burden of cervical cancer than other Australian women.
Semi-structured interviews with 13 HCPs from four Australian Indigenous primary health care centres (PHCCs). Transcripts were thematically analysed.
HCPs discussed the need to approach cervical screening with sensitivity to women's emotional and cultural needs and sustaining relationships built on trust and respect. HCPs reported challenges in promoting screening to Aboriginal and Torres Strait Islander women due to cumbersome systems, competing clinical priorities, workforce capacity limitations and specific challenges associated with implementing the renewed National Cervical Screening Program.
In practice, HCPs experience several challenges to delivering cervical screening. Understanding HCPs' perspectives on their approach to cervical screening delivery, and the systems in which this occurs, can help to ensure that they receive adequate support and resources to deliver cervical screening to Aboriginal and Torres Strait Islander women. Implications for public health: It is important that HCPs adopt a multi-faceted, person-centred approach to cervical screening that is responsive to women's needs and that works synchronously with supportive PHCC services and systems and the National Cancer Screening Register.
调查初级卫生保健提供者（HCP）对为原住民和托雷斯海峡岛民妇女提供宫颈癌筛查的看法，这些妇女比其他澳大利亚妇女面临更高的宫颈癌负担。
对来自澳大利亚四个原住民初级保健中心（PHCC）的 13 名 HCP 进行半结构化访谈。对记录进行主题分析。
HCP 讨论了需要针对妇女的情感和文化需求以及建立在信任和尊重基础上的关系，以敏感的方式进行宫颈癌筛查。HCP 报告说，由于繁琐的系统、竞争的临床优先事项、劳动力能力限制以及与实施新的国家宫颈癌筛查计划相关的具体挑战，向原住民和托雷斯海峡岛民妇女推广筛查存在挑战。
实际上，HCP 在提供宫颈癌筛查方面面临诸多挑战。了解 HCP 对其提供宫颈癌筛查的方法的看法，以及这些方法发生的系统，可以帮助确保他们获得足够的支持和资源，为原住民和托雷斯海峡岛民妇女提供宫颈癌筛查。
重要的是，HCP 应采用多方面的、以个人为中心的宫颈癌筛查方法，该方法应对妇女的需求，并与支持性的 PHCC 服务和系统以及国家癌症筛查登记处同步工作。
