PMID: 2504313Jul 8, 1989Paper

Cervical cytology screening and government policy

BMJ : British Medical Journal
S K Ross

Abstract

To assess the coverage of cervical cytology screening in one general practice surgery according to the criteria in the new Scottish general practitioner contract and to explore the difficulties of defining performance in such screening. Review of annual analysis of uptake of screening during 1984-8. Suburban general practice surgery in Glasgow serving 3000 patients. All women aged 35-64 registered in 1984 increasing in 1988 to all women aged 20-64. Assessment of uptake of smear tests and reasons for smear not being taken and of the effect of these outcomes on the new general practitioner contract. The numbers and percentages of women having a smear test in the previous five and three years were recorded, and the reasons why a smear was not taken were defined in the remainder (hysterectomy, test not offered, risk not known, test declined, patient moved away, and patient unaccounted for). In 1988, 85% (608/719) of the women aged 30-64 and 80% (693/870) of those aged 20-64 had had a smear test in the previous five years. An appropriate or irreducible reason for the lack of a smear test was defined in all the others. The population studied contained a substantial number of women in whom cervical smear was unnecessary, inappropriate...Continue Reading

References

Jun 1, 1975·British Journal of Preventive & Social Medicine·C D SansomR Yule
Mar 4, 1989·BMJ : British Medical Journal·A Bowling, B Jacobson
Apr 8, 1989·BMJ : British Medical Journal
Apr 22, 1989·BMJ : British Medical Journal·L RoeA Coulter
Sep 17, 1988·BMJ : British Medical Journal·E Hiscock, G Reece
Mar 1, 1988·Acta paediatrica Scandinavica·S Heyerdahl
Jan 1, 1982·International Journal of Health Services : Planning, Administration, Evaluation·A M Gray

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Citations

Jun 8, 1991·Journal of Health Economics·A Walker, D K Whynes
Sep 30, 1989·BMJ : British Medical Journal·B W Codling, A Bigrigg
Jan 1, 1990·AIDS Care·G MacDonald, C Smith
Mar 1, 2012·Sociology of Health & Illness·David Armstrong
Jan 1, 1990·Cytopathology : Official Journal of the British Society for Clinical Cytology·A J RobertsonR Halkerston
Sep 30, 1989·BMJ : British Medical Journal·B Hughes, C C Bailey
Feb 10, 1990·BMJ : British Medical Journal·R Baker

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