{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:27:36Z","timestamp":1785461256345,"version":"3.56.0"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In 2017, the Australian National Cervical Screening Program (NCSP) implemented five\u2010yearly primary human papillomavirus (HPV) screening for women aged 25\u201374. It is important that clinicians are able to explain the NCSP changes to women and confidently address concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study examined Australian clinicians\u2019 attitudes toward and experiences of the NCSP renewal since its implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Cross\u2010sectional survey of clinicians (general practitioners, obstetricians and gynaecologists) involved in cervical screening, distributed two years after implementation of the renewed NCSP. Responses were analysed using descriptive statistics and thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six hundred and seven participants completed the survey. More than 80% of clinicians were comfortable with the main NCSP changes: extended screening intervals, increased age of first screening, and screening test used. However, only 47% of clinicians reported having utilised the National Cancer Screening Register, and a third of clinicians did not believe that self\u2010collection was a reasonable alternative to practitioner\u2010collected screening for under\u2010screened women. Increased demands for colposcopy were reported. All clinicians identified at least one area of educational need, including the management of women with a history of screen\u2010detected abnormalities in the previous program (34.9%), post\u2010colposcopy management for women with no abnormalities detected (25.5%), and screening in complex scenarios (eg immunocompromise) (26.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, Australian clinicians are comfortable with the main changes to the cervical screening program. Certain areas may require further policy review, such as screening in complex clinical scenarios, colposcopy availability, accessibility of the Register and self\u2010collection. These issues could be meaningful for other countries switching to HPV\u2010based screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13310","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T16:08:48Z","timestamp":1611936528000},"page":"416-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Australian National Cervical Screening Program renewal: Attitudes and experiences of general practitioners, and obstetricians and gynaecologists"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0217-6574","authenticated-orcid":false,"given":"Helena M.","family":"Obermair","sequence":"first","affiliation":[{"name":"School of Public Health University of Sydney Sydney New South Wales Australia"},{"name":"Department of Obstetrics &amp; Gynaecology Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsty F.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia M.L.","family":"Brotherton","sequence":"additional","affiliation":[{"name":"VCS Foundation Melbourne Victoria Australia"},{"name":"School of Population and Global Health University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan A.","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney Sydney New South Wales Australia"},{"name":"Cancer Council NSW Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten J.","family":"McCaffery","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-6359","authenticated-orcid":false,"given":"Rachael H.","family":"Dodd","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Cancer Council Australia Cervical Cancer Screening Guidelines Working Party.National Cervical Screening Program: Guidelines for the management of screen\u2010detected abnormalities screening in specific populations and investigation of abnormal vaginal bleeding 2016. 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Available from URL:https:\/\/wiki.cancer.org.au\/australia\/Guidelines:Cervical_cancer\/Screening"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62218-7"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.11.076"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0185332"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30007-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019171"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029319"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/12307"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034483"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2015.10.026"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx026"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2015.11.018"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0228042"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5326"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0000000000000325"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13200"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2012.08.009"},{"key":"e_1_2_6_20_1","volume-title":"Cancer and Culturally and Linguistically Diverse Communities","author":"Federation of Ethnic Communities\u2019 Councils of Australia","year":"2010"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp2921914"},{"key":"e_1_2_6_22_1","first-page":"2","volume-title":"Australia\u2019s Future Health Workforce \u2013 Obstetrics and Gynaecology","author":"Department of Health","year":"2018"},{"key":"e_1_2_6_23_1","volume-title":"General Practice: Health of the Nation 2018","author":"The Royal Australian College of General Practitioners","year":"2018"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY20032"},{"key":"e_1_2_6_25_1","unstructured":"NPS MedicineWise.National Cervical Screening Program 2017. [Accessed 3 June 2020.] Available from URL:https:\/\/learn.nps.org.au\/course\/index.php?categoryid=89"},{"key":"e_1_2_6_26_1","unstructured":"National Cancer Screening Register.National Cancer Screening Register Quick Start Guide 2017. [Accessed June 3 2020.] Available from URL:https:\/\/www.ncsr.gov.au\/content\/dam\/ncsr\/quickstartguides\/Quick\u2010Start\u2010Guide\u2010Healthcare\u2010Provider\u2010Cervical.pdf"},{"key":"e_1_2_6_27_1","unstructured":"National Cervical Screening Program.Quick Reference Guide \u2013 Clinician\u2010Collected Cervical Screening Tests 2017. 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