{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T07:34:29Z","timestamp":1765265669698,"version":"3.46.0"},"reference-count":17,"publisher":"BMJ","issue":"6691","license":[{"start":{"date-parts":[[1989,7,8]],"date-time":"1989-07-08T00:00:00Z","timestamp":615859200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1989,7,8]]},"abstract":"<jats:p>OBJECTIVE--To assess the coverage of cervical cytology screening in one general practice surgery according to the criteria in the new Scottish general practitioner contract and to explore the difficulties of defining performance in such screening. DESIGN--Review of annual analysis of uptake of screening during 1984-8. SETTING--Suburban general practice surgery in Glasgow serving 3000 patients. PATIENTS--All women aged 35-64 registered in 1984 increasing in 1988 to all women aged 20-64. MAIN OUTCOME MEASURE--Assessment of uptake of smear tests and reasons for smear not being taken and of the effect of these outcomes on the new general practitioner contract. RESULTS--The numbers and percentages of women having a smear test in the previous five and three years were recorded, and the reasons why a smear was not taken were defined in the remainder (hysterectomy, test not offered, risk not known, test declined, patient moved away, and patient unaccounted for). In 1988, 85% (608\/719) of the women aged 30-64 and 80% (693\/870) of those aged 20-64 had had a smear test in the previous five years. An appropriate or irreducible reason for the lack of a smear test was defined in all the others. CONCLUSIONS--The population studied contained a substantial number of women in whom cervical smear was unnecessary, inappropriate, or refused. These factors and the likely demographic variation in the uptake of smear tests have important implications for the setting and achieving of the government's targets for cervical cytology screening.<\/jats:p>","DOI":"10.1136\/bmj.299.6691.101","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"101-104","source":"Crossref","is-referenced-by-count":6,"title":["Cervical cytology screening and government policy."],"prefix":"10.1136","volume":"299","author":[{"given":"S. K.","family":"Ross","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1989,7,8]]},"reference":[{"article-title":"Scottish Home and Health Departmcnt..4 new contract. The govertmetn's detailed proposals for changes to the GP's tetis of service and remuneration system in Scotland","year":"1989","key":"ref_1","unstructured":"Scottish Home and Health Departmcnt..4 new contract. The govertmetn's detailed proposals for changes to the GP's tetis of service and remuneration system in Scotland. Edinburgh: SHHD, 1989."},{"key":"ref_2","first-page":"410","article-title":"The accuracy of age-sex registers, practice medical records and family practitioner committee registers","volume":"31","author":"Fraser, R.C.; Clayton, D.G.","year":"1981","unstructured":"Fraser RC, Clayton DG. The accuracy of age-sex registers, practice medical records and family practitioner committee registers. J R Coll Gen I'ract 1981;31:410-9.","journal-title":"J R Coll Gen I'ract"},{"key":"ref_3","article-title":"W'somen's problems in general practice","author":"MicPherson, A.","unstructured":"MicPherson A. W'somen's problems in general practice. 2nd ed. Oxford: Oxford University Press, 1988:113.","edition":"2nd ed"},{"key":"ref_4","article-title":"Scottish health statistics 1988","author":"Commoni Services Agency, Information and Statistics Division","year":"1988","unstructured":"Commoni Services Agency, Information and Statistics Division. Scottish health statistics 1988. Edinburgh: ISD Publications, 1988."},{"key":"ref_5","article-title":"Jef]coate's principles ofgynaecology","author":"Tindal, V.R.","year":"1987","unstructured":"Tindal VR. Jef]coate's principles ofgynaecology. 5th ed. London: Butterworth, 1987.","edition":"5th ed"},{"key":"ref_6","first-page":"269","article-title":"The accuracy of age-sex registers in general practice. 7 R Coll Gen Pract","volume":"34","author":"Sheldon, M.G.; Rector, A.C.; Boriman, P.A.","year":"1984","unstructured":"Sheldon MG, Rector AC, Boriman PA. The accuracy of age-sex registers in general practice. 7 R Coll Gen Pract 1984;34:269-71."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1136\/bmj.289.6449.883","article-title":"Quinquennial cervical smears; every woman's right and esery general practitioner's responsibility","volume":"289","author":"Standing, P.; Mercer, S.","year":"1984","unstructured":"Standing P, Mercer S. Quinquennial cervical smears; every woman's right and esery general practitioner's responsibility. Br Medj 1984;289:883-6.","journal-title":"Br Medj"},{"key":"ref_8","first-page":"540","article-title":"Problems of cervical screening programmes","volume":"37","author":"Rang, E.H.; Tod, E.D.M.","year":"1988","unstructured":"Rang EH, Tod EDM. Problems of cervical screening programmes. J R Coll Gen Pract 1988;37:540-3.","journal-title":"J R Coll Gen Pract"},{"key":"ref_9","first-page":"545","article-title":"Screening: the inadequacy of population registers","volume":"298","author":"Bowling, A.; Jacobsen, B.","year":"1989","unstructured":"Bowling A, Jacobsen B. Screening: the inadequacy of population registers. BrMedj 1989;298:545-6.","journal-title":"BrMedj"},{"key":"ref_10","first-page":"515","article-title":"Immunisation, practice records and the white paper","volume":"38","author":"Pennington, E.; Wilcox, R.M.L.","year":"1988","unstructured":"Pennington E, Wilcox RML. Immunisation, practice records and the white paper. J R Coll Gen Pract 1988;38:515-6.","journal-title":"J R Coll Gen Pract"},{"key":"ref_11","first-page":"540","article-title":"Women's preference for sex of doctor: a postal survey","volume":"37","author":"Nichols, S.","year":"1987","unstructured":"Nichols S. Women's preference for sex of doctor: a postal survey.J R Coil Gen Pract 1987;37:540-3.","journal-title":"J R Coil Gen Pract"},{"key":"ref_12","first-page":"207","article-title":"The organisation of cervical screening in general practice","volume":"38","author":"Haselock, C.; Edwards, R.; Cuzick, J.; Chamberlain, J.","year":"1988","unstructured":"Haselock C, Edwards R, Cuzick J, Chamberlain J. The organisation of cervical screening in general practice.JR Coll Geri Pract 1988;38:207-11.","journal-title":"JR Coll Geri Pract"},{"key":"ref_13","first-page":"131","article-title":"Recall of women in a cervical screening programme: an estimate of the rate of response. British 7ournal of Preventive and","volume":"29","author":"Sanson, C.D.; Maclnernv, J.; Oliver, V.; Wakefield, J.; Yule, R.","year":"1975","unstructured":"Sanson CD, Maclnernv J, Oliver V, Wakefield J, Yule R. Recall of women in a cervical screening programme: an estimate of the rate of response. 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The Physician 1986;5: 1067-8.","journal-title":"The Physician"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1136\/bmj.296.6628.1041","article-title":"Investigation of non-responders at a cervical screening clinic in Manchester","volume":"296","author":"Nathoo, V.","year":"1988","unstructured":"Nathoo V. Investigation of non-responders at a cervical screening clinic in Manchester. Br Medj 1988;296:1041-2.","journal-title":"Br Medj"},{"key":"ref_17","article-title":"Inequalities in health. The Black report","author":"Townsend, P.","year":"1982","unstructured":"Townsend P, Davidson N, eds. Inequalities in health. The Black report. I st ed. England: Penguin, 1982.","edition":"I st ed"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.299.6691.101","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.299.6691.101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T07:30:15Z","timestamp":1765265415000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.299.6691.101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,7,8]]},"references-count":17,"journal-issue":{"issue":"6691","published-online":{"date-parts":[[1989,7,8]]},"published-print":{"date-parts":[[1989,7,8]]}},"alternative-id":["10.1136\/bmj.299.6691.101"],"URL":"https:\/\/doi.org\/10.1136\/bmj.299.6691.101","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"type":"print","value":"0959-8138"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1989,7,8]]}}}