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American Journal of Public Health, Vol 91, Issue 3 451-454, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

The impact of referral to a primary physician on cervical cancer screening

JM Gill and SA McClellan
Department of Family and Community Medicine, Christiana Care Health Services, 1401 Foulk Rd, Wilmington, DE 19803, USA. jgill@christianacare.org

OBJECTIVES: The purpose of this study was to determine whether referral to a primary physician led to an increase in screening for cervical cancer among women enrolled in Delaware Medicaid. METHODS: Medicaid claims data were used to compare annual Papanicolaou (Pap) test rates for women referred to a primary care physician or obstetrician (n = 365) with rates for age-matched comparison women who were not referred (n = 1799). RESULTS: Thirty-eight percent of referred women and 27% of comparison women underwent Pap tests (adjusted odds ratio = 1.71; 95% confidence interval = 1.33, 2.20). CONCLUSIONS: Referral to a primary physician had a positive impact on cervical cancer screening among the study participants.




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