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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Attendance to cervical cancer screening in family practices in The Netherlands.
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Attendance to cervical cancer screening in family practices in The Netherlands.

机译：在荷兰参加家庭实践中的子宫颈癌筛查。

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BACKGROUND: The effectiveness of three different organizational approaches to cervical cancer screening (community based, family practice based, and a combination) was evaluated in nationally representative family practices. METHOD: We selected 122 family practices with a computerized sex-age register from a database of 1, 251 family practices, representative of all 4,758 family practices in The Netherlands. Approximately 40 practices were linked with each approach. We measured the attendance, the reasons for nonattendance, and the influence of a reminder on the attendance of women invited for cervical screening in September, October, and November 1996. The patients were grouped according to age. A cross-sectional design was used for the study. RESULTS: For younger women, the total attendance rate, coverage (percentage of women "protected" against cervical cancer), and control rate (percentage of women with medical reasons for nonattendance or postponement of the smear) were highest in practices using the family practice-based approach (68, 77, and 90%, respectively) and lowest in practices with the community-based approach (53, 62, and 68%, respectively). For older women, the family practice-based approach and the combination approach were associated with attendance rates significantly higher than those for the community-based approach (approximately 60, 80, and 80% vs 47, 67, and 70%, respectively). A reminder sent by the family physician to women not responding to an initial invitation increased the attendance rate by 7 to 11% in both age categories, depending on who had sent the first invitation. CONCLUSION: A family practice-based cervical screening approach appeared to be the most effective at a national level, achieving the highest attendance rate, coverage, and control rate. Copyright 2000 American Health Foundation and Academic Press.
机译：背景：在全国代表性的家庭实践中评估了三种不同的组织方法对子宫颈癌筛查的有效性（基于社区，基于家庭实践及其组合）。方法：我们从1 251家家庭行为的数据库中选择了122种家庭行为，并用计算机记录了性别年龄，该数据库代表了荷兰所有4758种家庭行为。每种方法约有40种做法。我们在1996年9月，10月和11月测量了出勤率，缺勤的原因以及提醒对接受宫颈筛查的女性出勤率的影响。按年龄将患者分组。横截面设计用于研究。结果：对于年轻女性，在家庭实践中，总出勤率，覆盖率（“受到保护”以预防子宫颈癌的女性百分比）和控制率（由于医学原因而无人照看或推迟涂片的女性百分比）最高基于方法的方法（分别为68％，77％和90％），在基于社区方法的实践中最低（分别为53％，62％和68％）。对于老年妇女，基于家庭实践的方法和联合方法的出勤率显着高于基于社区的方法（分别为60％，80％和80％，而47％，67％和70％）。家庭医生向未响应初次邀请的女性发出的提醒使出勤率在两个年龄段均提高了7％至11％，具体取决于谁发出了第一次邀请。结论：基于家庭实践的宫颈筛查方法在全国范围内似乎是最有效的，其出勤率，覆盖率和控制率最高。版权所有2000美国健康基金会和学术出版社。

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