title: [Quality indicators in the early detection of cervicouterine-cancer in primary health care units].
abstract: BACKGROUND
  to determine the quality of a prompt cervical cancer detection program (TDC CC) according to the indicators for prevention and diagnosis.
  
  
  METHODS
  cross-sectional and comparative study conducted in four primary care units. We selected 400 patients who attended preventive services to participate in the study of cervical cytology (Pap). The evaluation of the Program of TDC CC was obtained by the degree of fulfillment of quality and productivity outlined by an institutional program. The seven indicators were measured by the same scale. A descriptive statistics, adjusted kappa, and chi square with a level of significance of 95 % confidence interval was used.
  
  
  RESULTS
  the average age was 40 ± 12.6 years. Most women (92.5 %) had information about the Pap screening method in CC, even thought only 25.3 % had this test done in the last three years. The inter-observer agreement was scored low by three cytotechnologists. The degree of compliance according to indicators of the 4 units was 35.7 %, and was rated as moderate. The best indicators were great productivity among cytotechnologists, the number and proportion of re-examined cytologies.
  
  
  CONCLUSIONS
  most indicators were below the expected values.
authors.affiliation: Coordinación Delegacional de Investigación en Salud en Chiapas, Instituto Mexicano del Seguro Social, México. filiberto.linaldi@imss.gob.mx
authors.forename: Filiberto
authors.initials: F
authors.lastname: Linaldi-Yépez
authors.forename: Leticia
authors.initials: L
authors.lastname: Hernández-Cruz
authors.forename: Teresa
authors.initials: T
authors.lastname: Apresa-García
authors.forename: Dulce María
authors.initials: DM
authors.lastname: Hernández-Hernández
authors.forename: Jorge
authors.initials: J
authors.lastname: Martínez-Torres
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000592:standards*; D005260:Female; D006757:Hospital Units; D006801:Humans; D011320:Primary Health Care; D019984:Quality Indicators, Health Care; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*