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KMID : 0384319920130020117
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Korean Journal of Family Medicine
1992 Volume.13 No. 2 p.117 ~ p.124
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A comparison of reminder models for cncreasing complince for cervical cancer screening in a family practice setting
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Jeong Eun-Kyeong
Tak Yang-Ju
Park Dong-Kyun
Song Yoon-Mi
Yoo Tai-Woo
Huh Bong-Ryul
Kim Chang-Yeop
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Abstract
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Background : Cervix cancer is the most common cancer in women. The incidence and the number of deaths from cervical cancer were reduced by the effective screening test-Pap smear. Therefore we carried out this study to determine the most effective way for increasing the rate of cervical cancer screening.
Methods : We tried four compliance enhancing intervention strategies (group I -reminder postcard/group Ⅱ-reminder phone call/group Ⅲ-postcard and education material/group Ⅳ-postcard and education material and phone) to 224 female patients who visited previously family medical center, and compliance predictors were examined by questionnaires.
Results : Total compliance rate was 35.8% and compliance rates of each group were 32.5%, 34.9%, 31.8%, 44.7%. Difference among the four groups was not statistically significant (X²=1.7087 P=0.6084). The likelihood of obtaining the cervical cancer screening test were linked to the number of Pap smears the previous years, education level, the number of visit to hospital the previous year, family history of cervical cancer(P<0.05).
Conclusion : Postcard reminder is the simple and cost-effective measure. To increase the compliance of cervix cancer screening test, primary care physicians should take more active role in extending cervical screening coverage.
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KEYWORD
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Reminder model, cervix cancer
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