open access

Vol 87, No 12 (2016)
Research paper
Published online: 2016-12-30
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The organization and financing of cervical cancer prevention carried out by midwives in primary health care

Karolina Sobczyk, Joanna Woźniak-Holecka, Tomasz Holecki, Dorota Szałabska
DOI: 10.5603/GP.2016.0091
·
Pubmed: 28098929
·
Ginekol Pol 2016;87(12):798-804.

open access

Vol 87, No 12 (2016)
ORIGINAL PAPERS Gynecology
Published online: 2016-12-30

Abstract

Objective: The main objective of the project was the evaluation of the organizational and financial aspects of midwives in primary health care (PHC), functioning under The Population Program for the Early Detection of Cervical Cancer two years after the implementation of new law regulations, which enable this occupational group to collect cytological material for screening.

Material and methods: Under this project, the data of the Program’s Coordinating Centre, affecting midwives’ postgraduate education in the field of pap smear tests, was taken into analysis. Furthermore, The National Health Fund (NFZ) reports on contracts entered in the field of the discussed topics, taking into consideration the value of health services performed within the Program in respect of ambulatory care and primary care units.

Results: NFZ concluded contracts for the provision of PHC service with 6124 service providers in 2016, including the contracts in the field of providing health services under the cervical cancer prevention program by PHC midwifes, which were entered into by 358 institutions (5.85%). The value of the basic services under the Program, carried out under NFZ contracts in 2014, amounted to approx. PLN 12.3 million, while the value of services performed by PHC midwives represented only 0.38% of this sum.

Conclusions: The introduction of legislative changes, allowing PHC midwives to collect cytological material for screening, did not cause, in the period of the observation on a national scale, the expected growth of availability of basic stage services within the cervical cancer prevention program.

Abstract

Objective: The main objective of the project was the evaluation of the organizational and financial aspects of midwives in primary health care (PHC), functioning under The Population Program for the Early Detection of Cervical Cancer two years after the implementation of new law regulations, which enable this occupational group to collect cytological material for screening.

Material and methods: Under this project, the data of the Program’s Coordinating Centre, affecting midwives’ postgraduate education in the field of pap smear tests, was taken into analysis. Furthermore, The National Health Fund (NFZ) reports on contracts entered in the field of the discussed topics, taking into consideration the value of health services performed within the Program in respect of ambulatory care and primary care units.

Results: NFZ concluded contracts for the provision of PHC service with 6124 service providers in 2016, including the contracts in the field of providing health services under the cervical cancer prevention program by PHC midwifes, which were entered into by 358 institutions (5.85%). The value of the basic services under the Program, carried out under NFZ contracts in 2014, amounted to approx. PLN 12.3 million, while the value of services performed by PHC midwives represented only 0.38% of this sum.

Conclusions: The introduction of legislative changes, allowing PHC midwives to collect cytological material for screening, did not cause, in the period of the observation on a national scale, the expected growth of availability of basic stage services within the cervical cancer prevention program.

Get Citation

Keywords

cervical cancer, prevention, primary health care midwives, health care economics and organization

About this article
Title

The organization and financing of cervical cancer prevention carried out by midwives in primary health care

Journal

Ginekologia Polska

Issue

Vol 87, No 12 (2016)

Article type

Research paper

Pages

798-804

Published online

2016-12-30

DOI

10.5603/GP.2016.0091

Pubmed

28098929

Bibliographic record

Ginekol Pol 2016;87(12):798-804.

Keywords

cervical cancer
prevention
primary health care midwives
health care economics and organization

Authors

Karolina Sobczyk
Joanna Woźniak-Holecka
Tomasz Holecki
Dorota Szałabska

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