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Performance Indicators for Colposcopy in Ontario.

Anjali Kulkarni1, Michelle Policarpio2, Samara Strub2

  • 1Department of Obstetrics and Gynaecology, University of Toronto, ON.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|November 5, 2019
PubMed
Summary
This summary is machine-generated.

This study assessed colposcopy services in Ontario using performance measures. Results show stable wait times and follow-up, with improved timely access for high-grade Pap tests.

Keywords:
colposcopyhealth carequality indicatorsuterine cervical neoplasms

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Area of Science:

  • Gynecologic Oncology
  • Public Health Surveillance
  • Healthcare Quality Improvement

Background:

  • Colposcopy is crucial for managing abnormal cervical screening results.
  • Standardized performance measures are needed to evaluate colposcopy service delivery.
  • Previous performance indicator development has not been applied to colposcopy.

Purpose of the Study:

  • To evaluate colposcopy assessment and treatment delivery in Ontario from 2009-2017.
  • To develop and apply performance measures for colposcopy services.
  • To identify strengths and weaknesses in provincial colposcopy care.

Main Methods:

  • Population-based descriptive analysis of screen-eligible women aged 21-69 in Ontario (2009-2017).
  • Calculation of five key performance measures for colposcopy quality.
  • Analysis focused on specific diagnostic categories and treatment follow-up.

Main Results:

  • Colposcopy rates for ASCUS remained stable (5.9%-6.3%) from 2013-2017.
  • Median wait times for high-risk referrals were stable.
  • Timely colposcopy access for high-grade Pap tests improved (74.7% to 83.5%).

Conclusions:

  • Five performance indicators were developed and applied to assess Ontario's colposcopy services.
  • The study demonstrates the utility of performance indicators in colposcopy quality assessment.
  • Findings provide a baseline for future colposcopy service evaluations.