Monnet E, Mauny F, Marquant A, Michaud C, Ferry J P
Department of Public Health, Faculty of Medicine and Pharmacy, Besançon, France.
Rev Epidemiol Sante Publique. 1998 Mar;46(2):108-14.
Eighteen months after the beginning of a pilot cervical cancer screening program in a French district of 484,770 inhabitants, a survey was performed among general practitioners (GP). The aim was to assess their knowledge of the screening policy, the factors related to their participation, the difficulties they encounter and their training needs.
A random sample of 168 GPs was taken from a medical association file. Eighty-seven percent of the physicians agreed to be interviewed by phone. The questionnaire was standardized and made up of open questions.
On the whole, screening policy was not well known to the GPs: 58 percent believed screening had to begin before age 21 and could be discontinued before age 61. Sixty percent of GPs declared that they provided women with written information, and 49 percent that they offered Pap smears to all women. Seventy-nine percent said that they took Pap smears, but 39 percent claimed they had difficulty mainly due to women's reluctance or to technical problems. Few GPs expressed training needs. Reported difficulties and expressed need for training increased with the physician's age. GP concern for public health activities increased their participation in the campaign.
Pilot programs have to implement measures which can help GPs to deal with community care and screening activities since GP involvement is one of the essential conditions of successful organized screening.
在法国一个拥有484,770名居民的地区启动宫颈癌筛查试点项目18个月后，对全科医生（GP）进行了一项调查。目的是评估他们对筛查政策的了解、与他们参与相关的因素、他们遇到的困难以及他们的培训需求。
从一个医学协会档案中随机抽取168名全科医生作为样本。87%的医生同意接受电话采访。问卷是标准化的，由开放式问题组成。
总体而言，全科医生对筛查政策了解不足：58%的人认为筛查应在21岁之前开始，61岁之前可以停止。60%的全科医生表示他们为女性提供书面信息，49%的人表示他们为所有女性提供巴氏涂片检查。79%的人说他们进行巴氏涂片检查，但39%的人声称他们主要因女性的不情愿或技术问题而遇到困难。很少有全科医生表示有培训需求。报告的困难和表达的培训需求随着医生年龄的增加而增加。全科医生对公共卫生活动的关注增加了他们对该活动的参与。
试点项目必须实施有助于全科医生处理社区护理和筛查活动的措施，因为全科医生的参与是成功组织筛查的基本条件之一。
