title: The optimum organization for the delivery of colposcopy service in Ontario: a systematic review.
abstract: OBJECTIVE
  To determine the optimum organization for colposcopy service delivery in Ontario, Canada.
  
  
  METHODS
  A multidisciplinary expert panel was convened to develop a systematic review to inform organizational guidelines. MEDLINE, EMBASE, CINAHL, HealthSTAR, and the Cochrane Library databases were searched from 1996 to February 2006 for articles that reported guidance or outcomes relating to improved outcomes in colposcopy training, qualifications, accreditation, maintenance of competency, the delivery of colposcopy, reducing default from colposcopy clinics, and/or strategies to improve patient satisfaction or comfort. In addition, an environmental scan identified unpublished documents related to the delivery of colposcopy services.
  
  
  RESULTS
  Sixteen guidance documents related to the delivery of colposcopy services were identified; 5 from the published literature and 11 from the environmental scan. These documents were used by the panel to inform the systematic review and companion guidelines.
  
  
  CONCLUSIONS
  Overall, the Ontario Colposcopy Guidelines Development Group believes that the benefits associated with the implementation of colposcopy recommendations in Ontario will result in greater organization of care and improved patient outcomes. In addition, the group anticipates that these recommendations will provide useful guidance to regional planning authorities, hospital administrators, and Cancer Care Ontario, as well as colposcopists and other practitioners, in the planning of integrated regional and provincial cancer screening services.
authors.affiliation: Division of Gynecologic Oncology, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada. mfung@ottawahospital.on.ca
authors.forename: Michael
authors.initials: M
authors.lastname: Fung-Kee-Fung
authors.forename: Roberta I
authors.initials: RI
authors.lastname: Howlett
authors.forename: Tom K
authors.initials: TK
authors.lastname: Oliver
authors.forename: Joan
authors.initials: J
authors.lastname: Murphy
authors.forename: Laurie
authors.initials: L
authors.lastname: Elit
authors.forename: Julie
authors.initials: J
authors.lastname: Strychowsky
authors.forename: Nathan
authors.initials: N
authors.lastname: Roth
authors.forename: S C Peter
authors.initials: SC
authors.lastname: Bryson
authors.forename: C Meg
authors.initials: CM
authors.lastname: McLachlin
authors.forename: Monique
authors.initials: M
authors.lastname: Bertrand
authors.forename: Michael
authors.initials: M
authors.lastname: Shier
authors.forename: Eileen
authors.initials: E
authors.lastname: McMahon
authors.forename: Susan
authors.initials: S
authors.lastname: McFaul
mesh_terms: D003127:Colposcopy; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis*; D006298:Health Services Administration; D006801:Humans; D009864:Ontario