Port Macquarie workshop
How will we identify our under-screened women?
- Data searches of BP women 50+
- BreastScreen custom patient list
- Print lists of all women over 50 and cross check with reminders
- Explore options for coding with people who have had breast screening/private mammography
- Identify those that don’t have reminders
- Get lists from Cancer Institute NSW who have had screening in the past
- Electronic referrals to BreastScreen
- Phone Call – personal approach
- Rotary – help provide transport to BreastScreen?
Top 3 groups of under-screened women
- Pain from mammogram
- Women from overseas who have moved to the region following marriage
- Aboriginal and Torres Strait Islander women (privacy, culture)
- Busy women – time management, not prioritising personal health
- Healthy women (have a health lifestyle/believe they would experience symptoms/don’t engage in mainstream health system)
- Busy women
- Women who have had a bad experience in the past
- Rural women
- Women without transport
- Indigenous women
What steps do we need to take to maintain a breast screen register?
The Port Macquarie Second Learning Workshop focused on cervical cancer screening and took place on June 15 2017. Participant input is captured below.
You can contact our population health team on 02 6618 5400 if you have any questions.
What’s worked well?
- The WCSC has raised awareness – doctors are being more pro-active at noticing patients 50-74 who have not had screening and handing them a BreastScreen referral
- Under-screened staff had mammograms!
- Improved number of patients in reminder systems
- Identified under-screened women
- Happy with the percent of women screened
(Reviewing data helped identify sub-groups whose screening rates were not as high as anticipated)
Who are your cervical under-screeners?
- have never had a Pap
- identify as LBQTI
- are disorganised
- have not been recently sexually active
- are in their 60’s/post-menopausal
- had a poor previous experience previously
- have vaginismus
- are from a culturally and linguistically diverse background
- are over 60
- Non-English/ immigrant background
- have a history of sexual abuse or pelvic pain
- have had a history of high grade cervical dysplasia needing a hysterectomy. They are meant to have regular vault smears. Unfortunately lot of these women think they don’t need smears as they have no cervix.
Now that you’ve had a chance to review your data, has your perception of which women are breast cancer under-screeners changed?
What are your three priorities leaving this workshop?
- Search data to identify those not screened for cervical cancer – ages 25-74
- Continue to identify and chase patients who have not had a breast screen
- Ensure reminder/recalls consistent across all doctors in the practice – so that it is easier to search the data
- 25-74 years old cervical screening
- Easier to search data
- Identify under-screened women for both cervical and breast screening