A Pap test screening clinic in a South Asian community of Vancouver, British Columbia: Challenges to maintaining utilization
A Pap test screening clinic in a South Asian community of Vancouver, British Columbia: Challenges to maintaining utilization
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DOI：
10.1111/j.0737-1209.2004.21504.x
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发表时间：
2004-09-01
影响因子：
2.1
通讯作者：
Balneaves, LG
中科院分区：
文献类型：
--
作者：
Grewal, S;Bottorff, JL;Balneaves, LG
本文的目的是描述建立南亚巴氏试验诊所的经验和挑战。针对南亚移民妇女的专门巴氏试验诊所是社区发起的对这一人口中高宫颈癌发病率的反应。已作出努力，确保诊所以敏感和文化上适当的方式提供保健服务。虽然妇女普遍对在南亚巴氏试验诊所的经历持积极态度，并经常鼓励其他妇女到诊所进行巴氏试验，但出勤率并没有保持下去。诊所持续取得成功的三个最重要挑战是：（1）保持利益攸关方继续参与制定长期战略，以提高社区对宫颈癌的认识;（2）建立机制，加强社区医生的支持;（3）在南亚移民妇女的专门保健服务中满足得不到充分服务的人的需求。这些挑战为其他国家提供了重要的经验教训，以增加移民妇女对筛查做法的参与。护士可以在动员和维持合作方面发挥关键作用，这对社区计划的持续成功至关重要。
The purpose of this article is to describe experiences and challenges in establishing a South Asian Pap Test Clinic. The specialized Pap test clinic for immigrant South Asian women was a community-initiated response to high rates of cervical cancer within this population. Efforts were made to ensure that the clinic provided health services in a sensitive and culturally appropriate manner. Although women were generally positive about their experiences at the South Asian Pap Test Clinic and often encouraged other women to attend the clinic for Pap testing, attendance patterns have not been maintained. The three most significant challenges to the clinic's ongoing success were: (1) maintaining the continued involvement of stakeholders in developing long-term strategies to enhance community awareness about cervical cancer; (2) creating mechanisms to strengthen support from physicians in the community; and (3) meeting the needs of the underserved within a specialized health service for South Asian immigrant women. These challenges provide important lessons for others to increase the participation of immigrant women in screening practices. Nurses can play a key role in mobilizing and maintaining collaborations that are essential to the continuing success of community-based programs.