title: General practitioner based screening for cervical cancer: higher participation of women with a higher risk?
abstract: OBJECTIVE
  To test the hypothesis that a personal invitation for cervical screening by a woman's own general practitioner (GP) achieves a higher attendance of women with an increased risk for cervical cancer.
  
  
  METHODS
  Two general practices and the local health authority screening programme for cervical cancer, Nijmegen, The Netherlands.
  
  
  METHODS
  Attendance rates of women with an increased risk of cervical cancer were compared for two invitation strategies: (a) invitation by the woman's own GP, and (b) invitation by a national call system through the local health authority. Data on risk profiles were gathered by questionnaire. Two hundred and thirty eight women eligible for screening were invited by their GPs (GP group), and 235 women by the local health authority (control group) in 1992.
  
  
  RESULTS
  The personal invitation by the GP resulted in an 18% higher overall attendance, and a 28% higher attendance of women with greater risk because of sexual behaviour and smoking.
  
  
  CONCLUSIONS
  Greater involvement of the GP in inviting women for cervical cancer screening results in a higher attendance, particularly among women with increased risk, than a less personal health authority call system.
authors.affiliation: Department of General Practice, University of Nijmegen, The Netherlands.
authors.forename: A C
authors.initials: AC
authors.lastname: Kant
authors.forename: B T
authors.initials: BT
authors.lastname: Palm
authors.forename: E
authors.initials: E
authors.lastname: Wentink
authors.forename: C
authors.initials: C
authors.lastname: van Weel
mesh_terms: D000293:Adolescent; D000328:Adult; D005069:Evaluation Studies as Topic; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009426:Netherlands; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D012725:Sexual Behavior; D012907:Smoking; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*