[Gynecological screening or cervical screening? Conflicts between clinical and public health viewpoints]

Orv Hetil. 2012 Aug 19;153(33):1302-13. doi: 10.1556/OH.2012.29432.
[Article in Hungarian]

Abstract

The "gynecological screening" that is composed of complex gynecological examination including colposcopy and cytological examinations has traditionally been incorporated into the gynecological protocol and practice. Over the past few decades, unfortunately, this screening practice has entrenched in the mind both of the gynecological community and the general public. As a result, the government-supported, organized cervical screening program of the population has come to a standstill. In order to adjust the cervical screening practice to the international public health recommendations in which cytology is the only screening test applied, the authors decided to involve primary care nurses and health visitors in smear taking, and to refer those with abnormal findings to a gynecologist for further clinical examination.

Publication types

  • Review

MeSH terms

  • Alphapapillomavirus
  • Cervix Uteri / pathology*
  • Cervix Uteri / virology*
  • Colposcopy
  • Conflict, Psychological
  • Cytological Techniques
  • Female
  • Genital Neoplasms, Female / diagnosis*
  • Genital Neoplasms, Female / epidemiology
  • Genital Neoplasms, Female / prevention & control
  • Genital Neoplasms, Female / virology
  • Gynecology* / methods
  • Gynecology* / standards
  • Gynecology* / trends
  • Humans
  • Hungary / epidemiology
  • Mass Screening* / methods
  • Mass Screening* / standards
  • Mass Screening* / trends
  • Papillomavirus Infections / complications
  • Papillomavirus Infections / diagnosis
  • Primary Health Care* / methods
  • Primary Health Care* / standards
  • Primary Health Care* / trends
  • Public Health* / methods
  • Public Health* / standards
  • Public Health* / trends
  • Referral and Consultation
  • Vaginal Smears