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February 2023
Volume 20, Issue 13

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From the Editor

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Awareness and Perception of Seasonal Influenza (Flu) among Medical and Non-Medical Students at Umm Al-Qura University in Makkah, Saudi Arabia: A Cross-Sectional Study
[Abstract]
[pdf]
Enas Alfalogy, Nahla Hariri, Hamsah S. Alqashqri, Yousra M. Alturki, Rawan M. Alzhrani, Sarah A. Alaboud
DOI: 10.5742/MEWFM.2023.95256016

Interfering Barriers to Postpartum Depression Screening among women in Saudi Arabia: A Phenomenological Study
[Abstract]
[pdf]
Hessa Abdulranhman Almutairi, Seham Mansour Alyousef, Diana Selvamony Lalithabai
DOI: 10.5742/MEWFM.2023.95256018

Screening the risk of eating disorders among adolescents in primary care centres in Makkah, Saudi Arabia
[Abstract]
[pdf]
Nahla Hariri
DOI: 10.5742/MEWFM.2023.95256020

A three-year audit of the effectiveness of family physician reminders on cervical screening uptake amongst non-responders in a UK family medicine setting
[Abstract]
[pdf]
Faizan Ahmad Awan, Abiya Ahmed
DOI: 10.5742/MEWFM.2023.95256021

Irritable gastrointestinal syndrome
[Abstract]
[pdf]
Mehmet Rami Helvaci, Yasemin Kayabasi, Ayse Ceylan, Guner Dede,
Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2023.95256024

Self-management behaviours and glycemic control in diabetic patients. A cross sectional study
[Abstract]
[pdf]
Rasha Moussa, Safa S. Mahmud, Lina Okar, Maya Aldeeb, Mohamad Rezek,
Ahmed Shawesh, Tarif Kalash, Muna Aseel
DOI: 10.5742/MEWFM.2023.95256025

Population and Community Studies

Knowledge and attitude toward epilepsy and seizure first aid among school teachers in Al-Kharj City, Saudi Arabia
[Abstract]
[pdf]
Daifallah Mohammed Almalki, Mamdouh Ali Kotb, Turki Mathkar Bin Saqyan,
Sultan Mohammed Alkahtani, Abdulmajeed Mohammed Alshaikhi, Lafi Fahhad Alanazi
DOI: 10.5742/MEWFM.2023.95256027

Cockroach Allergy: Is It Common in Jeddah City? A retrospective study
[Abstract]
[pdf]
Moufag Mohammed Saeed Tayeb
DOI: 10.5742/MEWFM.2023.95256028

Sun-protective Behaviours among patients with Cutaneous Hyperpigmentation in Saudi Arabia: A Cross Sectional Study
[Abstract]
[pdf]
Manar A Alotaibi, Norah Meshal Al Dera, Reema.F.Muqrin, Mohammed Almashali
DOI: 10.5742/MEWFM.2023.95256031

Quality of Life among the Parents of Saudi Arabian children with Autistic Spectrum Disorder, Riyadh, KSA
[Abstract]
[pdf]
A Alhazmi, A Alduraibi, M Alhemaid, A Albreakan, R Alshaqha
DOI: 10.5742/MEWFM.2023.95256038

Regional Covid

Diabetic Care Challenges during COVID-19 Pandemic:
Primary Healthcare Physicians' Perspective

[Abstract]
[pdf]
Abdullah M. Al-Shahrani
DOI: 10.5742/MEWFM.2023.95256032

The Effect of Online Learning on the Psychological State of Medical Students during Covid-19 at a public Saudi University
[Abstract]
[pdf]
Khalid A. Bin Abdulrahman, Hamad Nasir Alhamlan, Yazeed Mohammed Alqraini,
Yousef Ibrahim Alhoshan, Abdulrahman Hassan Shuraym, Faisal Abdulaziz Alkanhal
DOI: 10.5742/MEWFM.2023.95256040

Case Report

Symmetrical Posterior Lower Limb Bruising in A Qatar 2022 FIFA World Cup Fan - A Case Report

[Abstract]
[pdf]
Faizan Ahmad Awan, Saqib Talat Bhatti
DOI: 10.5742/MEWFM.2023.95256034

Education and Training

Medical students' syndrome among medical students in Riyadh, Saudi Arabia
[Abstract]
[pdf]
Khalid A. Bin Abdulrahman, Rayan A. Bahmaid, Danah M. Alrajhi, Basma A. Alturki,
Faisal A. Alhazani, Faisal T. Alayed
DOI: 10.5742/MEWFM.2023.95256035

Review

The application of integrated MRI CSF flowmetry in the diagnosis and treatment of CSF dynamic changes in hydrocephalus patients: a systematic review
[Abstract]
[pdf]
Awara Mohialdeen Rahman, Ari Sami Hussain Nadhim, Shahla Mohammed Saeed K
DOI: 10.5742/MEWFM.2023.95256037

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

   
February 2023- Volume 21, Issue 1

A three-year audit of the effectiveness of family physician reminders on cervical screening uptake amongst non-responders in a UK family medicine setting

(1) General Practitioner, The Gill Medical Centre, Greater Manchester, United Kingdom
(2) Foundation Year 1 Doctor, Calderdale Royal Hospital, Yorkshire, United Kingdom

Corresponding author:
Dr. Faizan Ahmad Awan
General Practitioner, The Gill Medical Centre, Greater Manchester,
United Kingdom
Email: faizan@doctors.org.uk

Received: December 2022 Accepted: January 2023; Published: February 1, 2023. Citation: Faizan Ahmad Awan, Abiya Ahmed. A three-year audit of the effectiveness of family physician reminders on cervical screening uptake amongst non-responders in a UK family medicine setting. World Family Medicine. February 2023; 21(1): 48-54 DOI: 10.5742/MEWFM.2023.95256021

Abstract

Background:
Cervical cancer screening is offered to all women in the United Kingdom (UK) between the ages of 24.5 and 64 years of age. The majority of screening is performed in primary care settings and the coverage rate remains stubbornly below 80%, despite an automated national invitation system.

Objective: To audit the effectiveness of physician reminders during patient-booked telephone or face-to-face family medicine appointments upon non-responders to automated invitations.

Methods: One physician in a primary healthcare centre opportunistically administered a three-step verbal invitation to all individuals identified as non-responders during their appointments with him. Patients seen face-to-face were also given a fourth invitation, a written slip to give to the receptionist to help them book an appointment. A code was entered into the patient’s notes to indicate that this patient had received the invitation. The invitation was continued for three years. The rate of screening uptake in the invitation arm was then compared to the rest of the non-responder population who received other non-structured reminders.

Results: 122 patients in the invitation arm and 602 in the control arm met the inclusion criteria. Cervical screening uptake was 11.1% greater in the invitation arm than the control arm (p < 0.0001; RR 1.188: CI 1.04 to 1.36). Patients receiving the fourth invitation in face-to-face appointments booked screening appointments 60 days earlier (mean = 110.8 days, n = 66) than those who received the verbal invitation only (mean = 170.4 days, n = 19, p = 0.08).

Conclusion: There is evidence to support the use of both a verbal invitation followed by a written invitation by physicians in a family medicine setting in the UK for patients who are non-responders to cervical screening to increase uptake. The cost per extra cervical screening accepted in this non-responder population is £14.35. Both of these factors support the use of physician invitations to increase screening rates.

Keywords
cervical cancer screening, primary health care, non-responder, increasing uptake, invitations






 


 

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