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Attendance for cervical screening--whose problem?

A Eardley, A K Elkind, B Spencer

    Social Science & Medicine (1982)
    |January 1, 1985
    PubMed
    Summary
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    Cervical cancer screening in the UK is not reducing incidence or mortality because at-risk women are under-represented. Service organization, not patient failure, impedes participation in cervical cancer screening.

    Area of Science:

    • Public Health
    • Oncology
    • Health Services Research

    Background:

    • Cervical cancer screening is an effective technique.
    • Despite this, incidence and mortality rates remain high in the UK.
    • Women at highest risk are under-represented in screened populations.

    Purpose of the Study:

    • To examine evidence explaining the under-representation of at-risk women in cervical cancer screening.
    • To determine whether the failure lies with women's attendance or the service's ability to meet their needs.
    • To propose principles for a more effective cervical cancer screening system.

    Main Methods:

    • Review of evidence on screening participation.
    • Analysis of viewpoints concerning patient non-attendance versus service failures.

    Related Experiment Videos

  • Argumentation based on existing evidence.

    • Main Results:

    • Evidence suggests the organization of the current cervical cancer screening service hinders maximum participation of at-risk women.
    • The study refutes the notion that non-attendance by women is the primary issue.
    • Service-related organizational factors are identified as the main barrier.

    Conclusions:

    • The current cervical cancer screening service organization impedes the participation of high-risk women.
    • Effective screening systems must be provider-initiated and user-oriented.
    • Reorganization of services is crucial to improve cervical cancer screening uptake and outcomes.