Proposal to institutionalize criteria and quality standards for cervical cancer screening within a health care system

Cadernos de Saúde Pública

Jorge Salmerón-castro²  Eduardo César Lazcano Ponce¹  Ricardo Pérez Cuevas²  Iliana Del Río Gómez¹  Irene Torres Torija¹  Mauricio Hernández Avila¹ 

[1] ,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Unidad de Investigación Epidemiológica y en Servicios de SaludMéxico D. F. ,México

关键词: Cervix Neoplasms;    Diagnosis;    Papillomavirus;    Quality Control;    Neoplasias do Colo;    Uterino;    Diagnóstico;    Papillomavírus;    Controle de Qualidade;   

DOI  :  10.1590/S0102-311X1998000700007

来源: SciELO

【 摘 要 】

The uterine cervix is the most common cancer site for females. Approximately 52,000 new cases occur annually in Latin America, thus the need to improve efficiency and effectiveness of Cervical Cancer Screening Programs (CCSP) is mandatory to decrease the unnecessary suffering women must bear. This paper is addressing essential issues to revamp the CCSP as proposed by the Mexican official norm. A general framework for institutionaling CCSP is outlined. Furthermore, strategies to strengthen CCSP performance through managerial strategies and quality assurance activities are described. The focus is on the following activities: 1) improving coverage; 2) implementing smear-taking quality control; 3) improving quality in interpretation of Pap test; 4) guaranteeing treatment for women for whom abnormalities are detected; 5) improving follow-up; 6) development of quality control measures and 7) development of monitoring and epidemiological surveillance information systems. Changes within the screening on cervical cancer may be advocated as new technologies present themselves and shortcomings in the existing program appear. It is crucial that these changes should be measured through careful evaluation in order to tally up potential benefits.

【 授权许可】

CC BY   
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