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Family Practice Vol. 10, No. 2, 173-177
© Oxford University Press 1993

research-article

Implementation of the National Cervical Cancer Screening in General Practice and Feasibility of a General Practice-based Call System: the GP's Opinion

BTHM PALM*,**,, AC KANT*,**, WJHM VAN DEN BOSCH*, CWB DE BEIJER, MEJ GERRITS and C VAN WEEL*

*Department of General Practice, University of Nijmegen
**Department of Pathology, University of Nijmegen Nijmegen, The Netherlands

Address for correspondence: BTHM Palm and AC Kant, Department of General Practice, University of Nijmegen. PO Box 9101, 6500 HB Nijmegen, The Netherlands

Thus far, the response to the nationwide screening programme for cervical cancer in The Netherlands, which was started in 1989, has been disappointing. One way to improve response is to involve general practitioners in the call system. A postal survey was conducted to review the implementation of the current screening programme in general practice and to examine the willingness of general practitioners to participate in a general practice-based call system. The response rate to the survey was 90%. The general practitioners were dissatisfied with follow-up, cost and time spent and compliance of women. Of all respondents 60% had already set up a call system within the practice or were willing to do so; another 31% were willing to participate in a regionally organized practice-based call system. On the basis of the results of this study a centralized general practice-based call system is recommended. The next step is to study the applicability of this system in a pilot programme.


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