Primary care provider practices and beliefs related to cervical cancer screening with the HPV test in Federally Qualified Health Centers
Published Date:Apr 28 2013
Source:Prev Med. 57(5):419-425.
Attitude Of Health Personnel
Cervical Cancer Screening
Early Detection Of Cancer
Health Knowledge, Attitudes, Practice
Health Services Misuse
Health Services Research
Practice Patterns, Physicians'
Primary Health Care
Uterine Cervical Neoplasms
Pubmed Central ID:PMC4547778
Funding:CC999999/Intramural CDC HHS/United States
Cervical cancer screening using the human papillomavirus (HPV) test and Pap test together (co-testing) is an option for average-risk women ≥30 years of age. With normal co-test results, screening intervals can be extended. The study objective is to assess primary care provider practices, beliefs, facilitators and barriers to using the co-test and extending screening intervals among low-income women.
Data were collected from 98 providers in 15 Federally Qualified Health Center (FQHC) clinics in Illinois between August 2009 and March 2010 using a cross-sectional survey.
39% of providers reported using the co-test, and 25% would recommend a three-year screening interval for women with normal co-test results. Providers perceived greater encouragement for co-testing than for extending screening intervals with a normal co-test result. Barriers to extending screening intervals included concerns about patients not returning annually for other screening tests (77%), patient concerns about missing cancer (62%), and liability (52%).
Among FQHC providers in Illinois, few administered the co-test for screening and recommended appropriate intervals, possibly due to concerns over loss to follow-up and liability. Education regarding harms of too-frequent screening and false positives may be necessary to balance barriers to extending screening intervals.
application/octet-stream image/gif image/jpeg image/gif image/jpeg image/gif image/jpeg image/gif image/jpeg
You May Also Like: