Impact of a new cervical Pap smear screening guideline on member perceptions and comfort levels
Impact of a new cervical Pap smear screening guideline on member perceptions and comfort levels
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DOI：
10.1006/pmed.1998.0473
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发表时间：
1999-05-01
影响因子：
5.1
通讯作者：
Compo, R
中科院分区：
文献类型：
--
作者：
Rolnick, SJ;LaFerla, JJ;Compo, R
背景。通过新的三年一次的巴氏涂片筛查指南进行了一项评估，以评估患者的感受和舒适度。方法。从一家大型健康维护组织内三个提供者群体的成员中随机抽取 20-69 岁女性样本（N = 673），并邮寄一份调查问卷。有关子宫颈抹片检查历史和对新指南的看法的问题。结果。总体回应率为 63%。超过一半的受访者不记得曾被告知建议的变化。 14% 的受试者对这一变化做出积极反应，16% 持中立态度，20% 表示怀疑，50% 表示负面评论。那些报告更频繁地进行子宫颈抹片检查的女性（P < 0.0001）、报告有异常子宫颈抹片检查史的女性（P < 0.01）以及受教育程度更高的女性（P < 0.05）对新指南持负面或怀疑的可能性明显更大。对于那些报告最近异常结果的人，或者基于提供者群体、年龄或被告知的回忆，没有发现统计差异。结论。无论患者对筛查间隔的知识和理解如何，这一新指南都引起了患者对预防性护理的担忧。必须采取更多措施来教育妇女了解建议筛查频率的变化及其原因。 (C) 1999 年美国健康基金会和学术出版社。
Background. An evaluation was conducted to assess patient perceptions and comfort levels with a new triennial Pap smear screening guideline.Methods. A random sample of women ages 20-69 (N = 673) was selected among members of three provider groups within a large health maintenance organization and mailed a survey. Questions pertained to Pap smear history and perceptions of the new guideline.Results. The overall response rate was 63%. Over one-half of respondents had no recollection of being informed about the change in recommendation. Fourteen percent of subjects responded positively to the change, 16% were neutral, 20% were skeptical, and 50% made negative comments. Women significantly more likely to be negative or skeptical about the new guideline were those who reported more frequent prior Pap smears (P < 0.0001), those reporting a history of abnormal Pap smear (P < 0.01), and more educated women (P < 0.05). No statistical differences were found for those reporting a recent abnormal result, or based on provider group, age, or recollection of being informed.Conclusions. Regardless of patient knowledge and intellectual understanding of screening intervals, this new guideline raises patient concern about preventive care. More must be done to educate women regarding the change in recommended screening frequency and the reasons for it. (C) 1999 American Health Foundation and Academic Press.