caa a22 4500 397518935 CHVBK 20180308164627.0 cr unu---uuuuu 161202e199503 xx s 000 0 eng 10.1093/intqhc/7.1.11 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.1.11 Cellular Composition of Cervical Smears Taken by General Practitioners [Elektronische Daten] [A. C. KANT, B. T. H. M. PALM, D. J. S. DONA, A. F. C. MAKKUS, G. P. VOOIJS, C. VAN WEEL] The quality of the cervical smears taken by general practitioners, and also by some practice assistants, of the Dutch Screening Programme in the region of Nijmegen was evaluated. Of 18, 398 preventive cervical smears taken by GPs in this region, 437 (2%) were diagnosed as "class” 0 and 2907 (16%) smears did not contain endocervical cells (EC-). The quality of the smears per general practitioner varied enormously. The percentage of smears without endocervical cells taken by six practice assistants was 18. During the screening period the percentage of smears without endocervical cells taken by GPs decreased from 19 (1989) to 14 (1992). In February 1990 the six practice assistants followed a theoretical and practical course on cervical smear-taking. Remarkable was the decrease in the percentage of smears without an endocervical component from 25% in 1990 to 13% in 1991. The quality of smears taken by GPs would improve if the general practitioner had more experience in smear-taking. We recommend to offer GPs the opportunity to take practical training courses in smear-taking, just as the practice assistants in this project. © 1995 Elsevier Science Ltd Articles nationallicence Cervical cancer nationallicence smears nationallicence quality nationallicence KANT A. C. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut PALM B. T. H. M. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut DONA D. J. S. Department of General Practice/Family Medicine, University of Nijmegen The Netherlands aut MAKKUS A. F. C. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut VOOIJS G. P. Department of Pathology, University of Nijmegen The Netherlands aut VAN WEEL C. Department of General Practice/Family Medicine, University of Nijmegen The Netherlands aut International Journal for Quality in Health Care Oxford University Press 7/1(1995-03), 11-16 1353-4505 7:1<11 1995 7 intqhc https://doi.org/10.1093/intqhc/7.1.11 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.1.11 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- KANT A. C. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- PALM B. T. H. M. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- DONA D. J. S. Department of General Practice/Family Medicine, University of Nijmegen The Netherlands aut NATIONALLICENCE 700 1- MAKKUS A. F. C. Department of Pathology, University of Nijmegen, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- VOOIJS G. P. Department of Pathology, University of Nijmegen The Netherlands aut NATIONALLICENCE 700 1- VAN WEEL C. Department of General Practice/Family Medicine, University of Nijmegen The Netherlands aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/1(1995-03), 11-16 1353-4505 7:1<11 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford