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. 2001 Mar;91(3):451-4.
doi: 10.2105/ajph.91.3.451.

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

J M Gill  1 , S A McClellan
Affiliations

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

J M Gill et al. Am J Public Health. 2001 Mar.

Abstract

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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