AI Article Synopsis

  • The paper talks about why some women don't go back for check-ups after finding something unusual in their Pap test, which can lead to worse health and higher costs.
  • Researchers surveyed two groups of women: those who followed up and those who didn’t, finding it harder to reach the women who didn't follow up.
  • The paper suggests four ideas to help understand why some women skip their follow-up care and how to encourage them to go.

Article Abstract

Purpose: Non-adherence to recommended follow-up visits after an abnormal cytological finding is associated with poorer outcomes and higher health care costs. The purpose of this paper is to describe the challenges when examining reasons for non-adherence to cervical cancer screening follow-up and to discuss the recommendations to overcome those challenges.

Methods: We conducted a telephone survey with two subgroups of women: 1) those which adhered to recommended follow-up care after an abnormal Pap test, and 2) those which did not adhere.

Results: The follow-up accrual among non-adherent women lagged behind that of adherers. We were able to contact and conduct a survey with 51% of the adherers and 26% of the non-adherers. The challenges in studying non-adherent women were related to several distinct factors: 1) the definition of non-adherence, 2) the availability of alternate contact information, 3) the amount and type of financial incentives, and 4) the availability of staffing. We describe strategies employed to increase the accrual of non-adherent women.

Discussion: This paper describes four recommendations that may play a role in understanding and reducing non-adherence to follow-up gynecological care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075769PMC
http://dx.doi.org/10.4236/ojpm.2014.43017DOI Listing

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