- Discuss innovative methods provide access to health to women of all ages through Community based Out Patient Clinics (COPC) to ensure positive patient experience.
- Compare and contrast national cervical cytological screening guidelines revisions and consensus reports for screening and management of Pap smear guidelines.
- Critically evaluate the role of protocols to understand interpretation guidelines for Pap smears for consistent management of women’s health will be discussed in detail.
Purpose: Women of all ages deserve a good quality of life throughout their lifespan. Access to care in community based outpatient clinics is becoming the new standard of practice. This presentation is designed for beginner, intermediate and experienced health care providers who serve women as primary care or specialist providers as they are in the best position to influence health care decisions by providing accurate and current evidenced based information to their clients.
Incidence: Cervical cancer is one of the world’s deadliest – but most easily preventable – forms of cancer for women, responsible for more than 270 000 deaths annually, 85% of which occur in developing countries (WHO, 2016). Human papillomavirus (HPV) types 16 and 18 account for approximately 70% of cervical cancers worldwide (CDC. 2016).
Methods:
- Author will summarize key points on patient indication and preparation for the pelvic exam, review the steps involved in performing a pelvic examination, including identifying external and internal structures associated with the pelvic exam.
- Discussion will include indications and complications of performing a pelvic exam will be discussed along with strategies to limit negative outcomes and make the visit a positive and non-threatening experience for women.
- 3.Author will elaborate on management of abnormal Pap smear results and the management on COPC setting so women do not fall through the cracks for treatment and management of abnormal Pap smear results.
- Variable in planning COPC site for service to include demographics, transportation and cultural brokers will be discussed
Results:
- Improvement in access to care and removal of barriers data will be presented
- Client satisfaction data will be presented
- Employee/ Provider satisfaction data will be presented
Conclusion: Quality care strategies, indices, processes , benefits and limitations of women’s health beginning from the initial exam with Pap smear screening and management will be shared with the audience.
References:
Vesco KK, Whitlock EP, Eder M, et al. Screening for Cervical Cancer: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 May. (Evidence Syntheses, No. 86.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK66099/
Kulasingam SL, Havrilesky L, Ghebre R, et al. Screening for Cervical Cancer: A Decision Analysis for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 May. (Evidence Syntheses, No. 86s.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK92546/
Bibbins-Domingo K, Whitlock E, Wolff T, Ngo-Metzger Q, Phillips WR, Davidson KW, et al. Developing Recommendations for Evidence-Based Clinical Preventive Services for Diverse Populations: Methods of the U.S. Preventive Services Task Force. Ann Intern Med. 2017;166:565–571. doi: 10.7326/M16-2656