Mitchell H
Victorian Cytology Service, Inc, Melbourne, Australia.
Arch Pathol Lab Med. 1997 Mar;121(3):327-30.
The cervical cancer screening program in Australia has an emerging litigation problem. This paper reviews some recent initiatives taken to address the problem. These initiatives include the establishment of registries of women being screened, education to promote an appreciation of the limitations of screening, and the introduction of outcome standards for laboratories reporting cervical cytology. An international evidence-based definition of the standard of care is the most pressing need in the immediate future. Possible roles of report disclaimers, informed consent, improved information about the average level of accuracy of a cervical cytology report, and the use of a range of differential diagnoses in addressing the medicolegal problems of cervical screening are explored.
澳大利亚的宫颈癌筛查项目正面临一个新出现的诉讼问题。本文回顾了近期为解决该问题所采取的一些举措。这些举措包括建立接受筛查女性的登记册、开展教育以促进对筛查局限性的认识，以及引入宫颈细胞学检查报告的结果标准。在不久的将来，基于国际证据的医疗护理标准定义是最迫切的需求。本文探讨了报告免责声明、知情同意、提供关于宫颈细胞学报告平均准确率的更多信息，以及使用一系列鉴别诊断方法在解决宫颈筛查法医学问题方面可能发挥的作用。
