Access to Colposcopy Services for High-risk Canadian Women: Can We Do Better?

Background: Despite overall decreasing mortality from cervical cancer, selected groups of Canadian women continue to have suboptimal access to diagnostic and treatment interventions for cervical cancer. In this paper, we present an evaluation of a colposcopy program developed to improve attendance f...

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Bibliographic Details
Published in:Canadian journal of public health 2004-09, Vol.95 (5), p.346-351
Main Authors: Ogilvie, Gina S., Shaw, Elizabeth A., Lusk, Sandra P., Zazulak, Joyce, Kaczorowski, Janusz A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analysis of Variance
Biological and medical sciences
Canada
Cancer screening
Cervical cancer
Colposcopy
Colposcopy - statistics & numerical data
Community health
Community Health Centers - standards
Female
Health Services Accessibility
Humans
Intervention
Medical referrals
Medical sciences
Medical treatment
Middle Aged
Miscellaneous
Noncitizens
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Socioeconomics
Uterine Cervical Neoplasms - prevention & control
Vaginal smears
Women
Women's Health Services - standards
Womens health
Womens health services
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Summary:Background: Despite overall decreasing mortality from cervical cancer, selected groups of Canadian women continue to have suboptimal access to diagnostic and treatment interventions for cervical cancer. In this paper, we present an evaluation of a colposcopy program developed to improve attendance for colposcopy in a lower socio-economic and immigrant population. Methods: All women attending the North Hamilton Community Health Centre (CHC) who required colposcopic assessment and were referred to a newly developed colposcopy program based at the CHC were evaluated. Attendance rates for consultation, follow up and treatment in women referred for colposcopy were compared retrospectively for the CHC-based colposcopy program and concurrently with the regional colposcopy clinic (RCC). Results: Women referred to the CHC colposcopy program had a significant reduction in their no-show rate after the introduction of the locally based colposcopy program (17.2% vs. 1.3%, p
ISSN:0008-4263
1920-7476
DOI:10.1007/bf03405143