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

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


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cohort Studies
  • Delaware
  • Family Practice*
  • Female
  • Health Services Accessibility
  • Humans
  • Medicaid
  • Middle Aged
  • Obstetrics
  • Papanicolaou Test*
  • Referral and Consultation*
  • Retrospective Studies
  • United States
  • Uterine Cervical Neoplasms / diagnosis*
  • Vaginal Smears / statistics & numerical data*