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Am J Prev Med. 2014 Sep;47(3):315-9. doi: 10.1016/j.amepre.2014.04.018. Epub 2014 Jun 18.

Opting out of cervical cancer screening: physicians who do not perform pap tests.

Author information

1
Soltera Center for Cancer Prevention and Control, Tucson, Arizona.
2
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia. Electronic address: yzs2@cdc.gov.

Abstract

BACKGROUND:

Some primary care physicians choose not to provide cervical cancer screening.

PURPOSE:

To investigate the characteristics and screening beliefs of family practitioners and internists who treat adult women in outpatient settings but perform no routine Pap tests.

METHODS:

A survey of U.S. primary care physicians (N=892) was conducted and analyzed in 2012.

RESULTS:

Participants who performed no Pap tests during a typical month (17.2% of family practitioners and 44.3% of internists) generally reported that they referred patients to gynecologists for cervical cancer screening. The most significant predictor of Pap test non-provision was agreement that patients are best served by having Pap tests performed by gynecologists (AOR=8.80, 95% CI=5.58, 13.88, p<0.001).

CONCLUSIONS:

The perception that patients benefit from cervical cancer screening administered by gynecologists may deter screening in primary care settings, resulting in missed opportunities to offer screening to women who are never or rarely screened.

PMID:
24953518
PMCID:
PMC4515305
DOI:
10.1016/j.amepre.2014.04.018
[Indexed for MEDLINE]
Free PMC Article
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