Roles of health care providers and patients in initiation of unnecessary papanicolaou testing after total hysterectomy

F. Guo and Y.-F. Kuo

American Journal of Public Health, 2016, vol. 106, issue 11, 2005-2011

Abstract: Objectives. To assess Papanicolaou (Pap) testing use among US adult women with a history of a total hysterectomy for a benign condition and the roles of health care providers and patients in the initiation of screening Pap tests. Methods. We used 2000 to 2013 data from the National Health Interview Survey on women aged 20 years or older who had undergone a hysterectomy (n = 11 616) to estimate unnecessary Pap test use. Results. The percentage of self-reported Pap testing in the preceding 3 years among women who had undergone a hysterectomy decreased from 72.2% in 2000 to 53.3% in 2013. In 2013, 42.4% of women who had undergone a hysterectomy reported receiving recommendations for screening from a health care provider in the past year (32% of which were unnecessary), and 32.1% reported undergoing Pap tests in the preceding year (22.1% of which were unnecessary). Although the majority of Pap tests were performed at a clinician's recommendation, approximately one fourth were initiated by patients without clinician recommendations. Conclusions. Health care providers should advisewomenwhohave had a total hysterectomy for a benign condition on appropriate use of screening services.

Keywords: adult; controlled study; doctor patient relation; female; health care personnel; human; hysterectomy; interview; major clinical study; male; Papanicolaou test; screening; young adult; aged; cross-sectional study; health service; middle aged; patient; professional standard; socioeconomics; statistics and numerical data; Uterine Cervical Neoplasms, Adult; Aged; Cross-Sectional Studies; Female; Health Personnel; Humans; Hysterectomy; Medical Overuse; Middle Aged; Papanicolaou Test; Patients; Professional Role; Socioeconomic Factors; Uterine Cervical Neoplasms; Young Adult (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303360_2

DOI: 10.2105/AJPH.2016.303360

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