ArticleBMC family practice2018
General practitioners can increase participation in cervical cancer screening - a model program in Hungary.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Article
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- Does contracting family doctor promote primary healthcare utilization among older adults? - evidence from a difference-in-differences analysis.BMC geriatrics · 2024Article
- [County differences in incidence and mortality of malignant neoplasms in Hungary between 2005 and 2019].Magyar onkologia · 2024Article
- Can family doctor system improve health service utilization for patients with hypertension and diabetes in China? A difference-in-differences study.BMC health services research · 2024Article
- Health care system and patient-related factors affecting low cancer screening participation in Poland.Preventive medicine reports · 2023Article
- Associations between the signing status of family doctor contract services and cervical cancer screening behaviors: a cross-sectional study in Shenzhen, China.BMC public health · 2023Article
- Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers.International journal of environmental research and public health · 2023Article
- Demographic and socioeconomic factors associated with cervical cancer screening among women in Serbia.Frontiers in public health · 2023Article
- Trends and Determinants in Uptake of Cervical Cancer Screening in Spain: An Analysis of National Surveys from 2017 and 2020.Cancers · 2022Article
- Young Danish HPV vaccinated women's knowledge, barriers and facilitators towards cervical cancer screening: A qualitative study.Preventive medicine reports · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCervical cancer is a preventable disease. Unfortunately, its mortality is high in Hungary: 9.2 deaths /100000 women/year in 2015. The Hungarian organized, nationwide cervical screening program was launched in 2003, but it could improve the coverage rate of cervical cancer screening only by a few percentage points. The vast majority of women still uses opportunistic screening and the organized screening program had little impact on participation by women who never or rarely consult their gynecologists. We assessed whether involving general practitioners in the cervical cancer screening process would increase participation.
methodsThe study consisted of two parts: 1. A questionnaire-based health survey was conducted using a representative sample of women aged 25 to 65 years from 11 Hungarian counties, in which we studied where women obtained information about cervical cancer screening. 2. Additionally, a model program and its evaluation were implemented in the practices of general practitioners in one of the 11 counties (Zala county). In this program, general practitioners were informed of their patients' participation in the cervical cancer screening program, and they motivated those who refused the invitation.
resultsQuestionnaire-based health survey: A total of 74% (95% confidence interval (CI): 70-77%) of the target population had a screening examination within the previous 3 years. The majority (58, 95% CI: 54-62%) of the target population did not ask for information about cervical cancer screening at all. Only 21% (95% CI: 17-26%) consulted their general practitioners about cancer screening. Evaluation of the model program: the general practitioners effectively motivated 24 out of 88 women (27, 95% CI: 18-38%) who initially refused to participate in the screening program.
conclusionThe majority of Hungarian women are not informed about cervical cancer screening beyond the invitation letter. General practitioners could play a more important role in mobilizing the population to utilize preventive services. The involvement of general practitioners in the organization of the cervical cancer screening program could increase the participation of those women who generally refuse the services.
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