Exploring loss to follow-up: Abnormal pap screening in Hispanic patients

Linda M. Hunt, Katherine B. De Voogd, Mark D. Soucy, Judith C. Longworth

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    PURPOSE: The loss of patients to follow-up for abnormal findings from Pap screenings is an important public health concern, particularly among poor and minority women. This study explores factors affecting incomplete follow-up among a group of Hispanic women with low incomes. DESCRIPTION OF STUDY: A qualitative descriptive study was conducted of 11 Hispanic patients with incomplete Pap smear follow-up at a public clinic in a major city in south Texas. Patients were interviewed using a semistructured, open-ended schedule of questions, and their medical records were abstracted. The clinic's five staff members also were interviewed. Comparative chronologies were constructed for each case, contrasting patient and staff accounts of the same set of events. All data were coded by at least two investigators. RESULTS: All study patients had mildly abnormal Pap smear results and had not met the follow-up criteria, but all understood and were committed to Pap screening. Although viewed by staff as noncompliant, none of the patients viewed her behavior this way. This staff-patient discrepancy was attributable to poor communication, mixed messages, clinic errors, and, perhaps most importantly, to a conflict between program policies and the specific circumstances of individual cases. Two case examples are presented to illustrate key points. CLINICAL IMPLICATIONS: Strategies that may help to reduce loss to follow-up among similar patients include the following: Allowing clinic staff more flexibility in follow-up procedures for women who have consistently normal follow-up test, including Spanish translations of written messages; enlisting patients' agreement in setting appointments; and updating patient records to reflect follow-up care that had been received in other clinics.

    Original languageEnglish (US)
    Pages (from-to)122-129
    Number of pages8
    JournalCancer Practice
    Volume10
    Issue number3
    DOIs
    StatePublished - 2002

    Fingerprint

    Hispanic Americans
    Papanicolaou Test
    Appointments and Schedules
    Chronology
    Aftercare
    Medical Records
    Public Health
    Communication
    Research Personnel

    Keywords

    • Cervical cancer
    • Hispanic American
    • Patient acceptance
    • Screening
    • Utilization
    • Vaginal smear

    ASJC Scopus subject areas

    • Oncology
    • Nursing(all)

    Cite this

    Hunt, L. M., De Voogd, K. B., Soucy, M. D., & Longworth, J. C. (2002). Exploring loss to follow-up: Abnormal pap screening in Hispanic patients. Cancer Practice, 10(3), 122-129. https://doi.org/10.1046/j.1523-5394.2002.103010.x

    Exploring loss to follow-up : Abnormal pap screening in Hispanic patients. / Hunt, Linda M.; De Voogd, Katherine B.; Soucy, Mark D.; Longworth, Judith C.

    In: Cancer Practice, Vol. 10, No. 3, 2002, p. 122-129.

    Research output: Contribution to journalArticle

    Hunt, LM, De Voogd, KB, Soucy, MD & Longworth, JC 2002, 'Exploring loss to follow-up: Abnormal pap screening in Hispanic patients', Cancer Practice, vol. 10, no. 3, pp. 122-129. https://doi.org/10.1046/j.1523-5394.2002.103010.x
    Hunt, Linda M. ; De Voogd, Katherine B. ; Soucy, Mark D. ; Longworth, Judith C. / Exploring loss to follow-up : Abnormal pap screening in Hispanic patients. In: Cancer Practice. 2002 ; Vol. 10, No. 3. pp. 122-129.
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