The Optimum Organization for the Delivery of Colposcopy Service in Ontario

Abstract

Overall, the Ontario Colposcopy Guidelines Development Group believes that the benefits associated with the implementation of colposcopy recommendations in Ontario will result in greater organization of care and improved patient outcomes. In addition, the group anticipates that these recommendations will provide useful guidance to regional planning authorities, hospital administrators, and Cancer Care Ontario, as well as colposcopists and other practitioners, in the planning of integrated regional and provincial cancer screening services.

Domestic violence is a leading risk factor in default from colposcopy services

“…Many organisations have developed strategies to reduce default from colposcopy services (14,16,18). However, a large postal survey in the UK found that default was hard to predict using standard demographic variables, although an intention to attend the clinical service three weeks before the appointment date was associated with a higher rate of attendance.…”

“…Other organisations have used evidence-based guidelines to develop service protocols designed to improve care outcomes and minimise default (18). These processes have not relied upon close examination of the individual features and social circumstances of the attending patients.…”

The Organization of Colposcopy Services in Ontario: Recommended Framework

“…This "guideline of guidelines" approach is the same that used in the 2008 cco evidence-based series 15-12 document, The Optimum Organization for the Delivery of Colposcopy Service in Ontario 11 . The "guideline of guidelines" approach is a practical way to generate consensus and expert opinion-based recommendations to establish best practices within Ontario; however, it has some drawbacks.…”

“…The members of the Working Group endorse the accessibility to training programs, the training and qualification requirements, and the program scope recommendations contained in the 2008 cco guideline 11 . The recommendations for maintenance of competence represent the consensus of the Working Group members based on guidance provided by the nhscsp in the United Kingdom 3 , the ranzcog in conjunction with the asccp Working Party 4 , and the 2008 cco guideline 11 .…”

“…The recommendations for maintenance of competence represent the consensus of the Working Group members based on guidance provided by the nhscsp in the United Kingdom 3 , the ranzcog in conjunction with the asccp Working Party 4 , and the 2008 cco guideline 11 . Two additional recommendations related to cme from the 2008 cco guideline 11 were endorsed.…”