Improving access to cervical cancer screening: The impact of a Saturday pap smear clinic.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Medical Screening Pub Date : 2024-09-25 DOI:10.1177/09691413241281653

Brittany Strelow, Joy Stevens, Stephanie Fink, Kristin Cole, Danielle O'Laughlin

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Abstract

Introduction: The implementation of cervical cancer screening and human papillomavirus (HPV) vaccination has significantly reduced cervical cancer rates. However, it remains the fourth most common cancer among women globally. Barriers to screening include personal, health system, and insurance factors.

Methods: To address these barriers, a "Saturday Pap smear Clinic" was established to increase accessibility. The study included female patients aged 21 to 65 from Southeast Minnesota, USA, who attended the clinic from September 2021 to April 2023.

Results: A total of 357 women attended the Saturday clinic, with a median age of 44 years; 70.6% were White. Abnormal Pap smear results were found in 13.8% of attendees, with 7.8% testing positive for HPV. Additional health maintenance was addressed. The majority of patients had a physician primary care provider (58.3%), followed by residents (26.3%), and nurse practitioner/physician associates (15.4%).

Discussion: The clinic demonstrated a high fill rate of 86.15%, indicating demand for non-traditional appointment times. Despite this, disparities in access were noted, with primarily White and English-speaking women utilizing the clinic. The clinic showed improved outcomes compared to national screening rates, highlighting the importance of timely preventative care.

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提高宫颈癌筛查的可及性：周六子宫颈抹片检查诊所的影响。

导言：宫颈癌筛查和人类乳头瘤病毒（HPV）疫苗接种的实施大大降低了宫颈癌的发病率。然而，宫颈癌仍是全球妇女第四大常见癌症。筛查的障碍包括个人、医疗系统和保险因素：为了消除这些障碍，我们设立了 "周六子宫颈抹片检查门诊"，以提高筛查的可及性。研究对象包括美国明尼苏达州东南部 21 岁至 65 岁的女性患者，她们在 2021 年 9 月至 2023 年 4 月期间到诊所就诊：共有 357 名女性参加了周六门诊，年龄中位数为 44 岁；70.6% 为白人。13.8%的就诊者子宫颈抹片检查结果异常，7.8%的就诊者人乳头瘤病毒检测呈阳性。其他健康维护问题也得到了关注。大多数患者的主治医生是医生（58.3%），其次是住院医生（26.3%）和执业护士/助理医生（15.4%）：讨论：该诊所的就诊率高达 86.15%，表明了对非传统预约时间的需求。尽管如此，在就诊方面仍存在差异，主要是白人和讲英语的妇女利用该诊所。与全国筛查率相比，该诊所的筛查结果有所改善，凸显了及时进行预防保健的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Screening 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.90

自引率

3.40%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Medical Screening, a fully peer reviewed journal, is concerned with all aspects of medical screening, particularly the publication of research that advances screening theory and practice. The journal aims to increase awareness of the principles of screening (quantitative and statistical aspects), screening techniques and procedures and methodologies from all specialties. An essential subscription for physicians, clinicians and academics with an interest in screening, epidemiology and public health.