Avtor/Urednik		Kirar-Fazarinc, Irena; Obersnel-Kveder, Dunja; Ilijaš-Koželj, Marija; Jemec, Mojca; Istenič-Pikel, Helena
Naslov		Vloga ginekologov v reproduktivnem zdravstvenem varstvu žensk v fazi zagona državnega programa ZORA
Prevedeni naslov		Role of gynecologists in women's reproductive health care at primary level in the beginning of active cervical cancer screening programme
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 72, št. Suppl 2
Leto izdaje		2003
Obseg		str. II-65-7
Jezik		slo
Abstrakt		Background. The gynecologists providing reproductive health care at primary level represent the essential link in implementation of DP ZORA - National Programme of Organized Cervical Screening Programme due to their organisational network and expertice as well as due to their connections and good and trustfull relationship with their women who opt for them as their personal therapeuts. At the begining of active cervical cancer screening gynecologists play an important role in taking care for their women and in councelling them to perform the preventive examination at the interval recommended. For effective invitation procedure, which is proven to be the most effective and for women safe way of active screening listing and categorisation of women are needed. Committee on organisation, epidemiology and informatics of DP ZORA has prepared the categorisation criteria and thus make DP ZORA successful and safe for women. Conclusions. The paper presents the preparation of invitation phase and procedures for categorisation of women in different subgroups according to invitation process. The role of gynecologists in invitation of women who already optfor them as their therapeut, is stressed. Also, categorisation of women who opt for gynecologist into two to three years interval is presented. Moreover, special approaches toward women in need for more frequent visits according to recomendations are discussed. Furthermore, limitations in preparation of invitation procedures and categorisation of women are perceived due to different data entry software, absence of identification number neccessary for linkage of different databases of women and follow up procedures as well as due to not uniform and diverse quality of citopathological results.
Izvleček		Izhodišča. Ginekologi v reproduktivnem zdravstvenem varstvu žensk na primarni ravni predstavljajo bistveni člen pri izvajanju Državnega programa ZORA in to tako zaradi svoje organiziranosti in strokovnosti kot tudi zaradi povezanosti, dobrega in zaupnega odnosa s svojimi opredeljenimi ženskami. V začetku aktivnega presejanja za raka materničnega vratu imajo ginekologi pomembno nalogo, da poskrbijo za opredeljene ženske tako, da prihajajo na preventivne preglede v priporočenem intervalu. Vabljenje je najbo j preizkušen in varen način aktivnega presejanja, za kar pa je treba imeti kriterije. Te kriterije je izdelala Strokovna komisija za organizacijo, epidemiologijo in informatiko DP ZORA. S tem je omogočila, da bo faza zagona uspešna in za ženske varna. Zaključki. Predstavljena je priprava na vabljenje žensk in postopki za opredeljevanje žensk v podskupine za pošiljanje vabil ter vloga ginekologa v opredeljevanju skupine žensk, ki so si doslej že izbrale osebnega ginekologa. Prikazan je način razporejanja za ginekologa že opredeljenih žensk v enoletne in triletne preventivne sheme ter opredelitve žensk, ki po različnih strokovnih priporočilih potrebujejo bolj pogosto kurativno obravnavo. Opisane so tudi ovire pri pripravi vabljenja in določanju kategorij žensk zaradi raznolikih programov za vnos podatkov, odsotnosti identifikacijske številke za povezovanje podatkovnih zbirk pregledanih žensk in njihovo sledenje in zaradi neenotnih oblik in kakovosti citopatoloških izvidov. Izpostavljene so najpomembnejše naloge ginekologov za uspešno izvajanje DP ZORA.
Deskriptorji		REPRODUCTIVE MEDICINE PREVENTIVE MEDICINE WOMEN'S HEALTH SERVICES CERVIX NEOPLASMS VAGINAL SMEARS