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Cervical screening in general practice: call and recall.

L L Ridsdale

    The Journal of the Royal College of General Practitioners
    |June 1, 1987
    PubMed
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    Implementing a call and recall system for cervical screening in general practice significantly increased participation among at-risk women. This targeted approach proved to be a cost-effective strategy for cervical cancer prevention.

    Area of Science:

    • Public Health
    • Gynecologic Oncology
    • Health Services Research

    Background:

    • Opportunistic cervical cancer screening often misses high-risk populations.
    • Regular universal screening reduces cervical cancer incidence.
    • Targeted screening strategies are needed to improve population health outcomes.

    Purpose of the Study:

    • To assess the cost-effectiveness of a call and recall system for cervical screening.
    • To evaluate the impact of a general practice-based system on screening uptake.
    • To identify high-risk women for cervical cancer prevention.

    Main Methods:

    • Utilized general practice age-sex registers and patient records.
    • Monitored screening status of women aged 36-60 years.

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  • Offered appointments to unscreened women and tracked attendance.

    • Main Results:

    • 70% of the eligible population had been screened in the prior five years.
    • 57% of invited unscreened women attended for screening.
    • Identified three cases of marked dyskaryosis/cervical intraepithelial neoplasia grade III at an estimated cost of £366 per case.

    Conclusions:

    • A call and recall system effectively increases cervical screening uptake in general practice.
    • This system enhances the identification of women at risk for cervical cancer.
    • The implemented system is a relatively cost-effective method for cervical cancer prevention.