[Cervical cancer screening in the Bas-Rhin. Evaluation of four and a half years of the EVE campaign].
The cervical cancer screening campaign has been settled in 1990 in the french department of Bas-Rhin and has effectively started in 1994. The 1901 law association EVE, gathering the partners concerned by illness and screening, has been designed as responsible for organisation. In relation with the field actors, the main guidelines were to try and increase the women's participation in the screening, to insure the quality of the cytological interpretation and the follow-up of pathological smears. After a four and a health years campaign, 80.3% of 25 to 65 years old women had the benefit one smear at least. The quality of the cytological interpretation is quite good and the follow-up of pathological smears is acceptable. This experience indicates the screening by the existing medical structures is possible. Many laboratories of cytology have accepted to participate in the campaign and to respect the modalities, notably for the transfer of data and the process insurance-quality. The majority of the practioners (gynecologists and general practioners) takes part in collecting the information about the follow-up. However, there's no regulation from official texts about the screening modalities and that makes to come to an arrangement with the health professionals in order to obtain and maintain their participation.
Fender
M
M
Laboratoire d'Epidémiologie et de Santé publique, Faculté de Médecine 4, Strasbourg.
Schaffer
P
P
Dellenbach
P
P
D000328:Adult; D000359:Aftercare / Q000592:standards; D000368:Aged; D001244:Association; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration*; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D014626:Vaginal Smears / Q000592:standards