National Data Analysis and Systematic Review for Human Resources for Cervical Cancer Screening in Japan
| العنوان: | National Data Analysis and Systematic Review for Human Resources for Cervical Cancer Screening in Japan |
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| المؤلفون: | Teruhiko Terasawa, Chisato Hamashima, Satoyo Hosono, Seiju Sasaki, Keika Hoshi, Takafumi Katayama |
| المصدر: | Asian Pacific Journal of Cancer Prevention : APJCP |
| بيانات النشر: | West Asia Organization for Cancer Prevention, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 0301 basic medicine, human resources, pap smear, Data Analysis, medicine.medical_specialty, smear taker, Uterine Cervical Neoplasms, Review Article, Cervical cancer screening, Health Services Accessibility, 03 medical and health sciences, 0302 clinical medicine, Japan, Cancer screening, gynecologist, medicine, Humans, Mass Screening, Human resources, Cervix, National data, Cervical cancer, Vaginal Smears, business.industry, General Medicine, medicine.disease, 030104 developmental biology, medicine.anatomical_structure, cancer screening, 030220 oncology & carcinogenesis, Family medicine, Workforce, Female, business |
| الوصف: | Background Although cervical cancer screening has been performed as a national program since 1983 in Japan, the participation rate has remained below 20%. Equity of access is a basic requirement for cancer screening. However, taking smears from the cervix has been limited to gynecologists or obstetricians in Japan and it might be a barrier for accessibility. We examined the current access and its available human resources for cervical cancer screening in Japan. Methods We analyzed the number of gynecologists and obstetricians among 47 prefectures based on a national survey. A systematic review was performed to clarify disparity and use of human resources in cervical cancer screening, diagnosis, and treatment for cervical cancers in Japan. Candidate literature was searched using Ovid-MEDLINE and Ichushi-Web until the end of January 2020. Then, a systematic review regarding accessibility to cervical cancer screening was performed. The results of the selected articles were summarized in the tables. Results Although the total number of all physicians in Japan increased from 1996 to 2016, the proportion of gynecologists and obstetricians has remained at approximately 5% over the last 2 decades. 43.6% of municipalities have no gynecologists and obstetricians in 2016. Through a systematic review, 4 English articles and 1 Japanese article were selected. From these 5 articles, the association between human resources and participation rates in cervical cancer screening was examined in 2 articles. Conclusions The human resources for taking smears for cervical cancer screening has remained insufficient with a huge disparity among municipalities in Japan. To improve accessibility for cervical cancer screening another option which may be considered could be involving general physicians as potential smear takers. |
| اللغة: | English |
| تدمد: | 2476-762X 1513-7368 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::766254d566ac4e2713e0a05b85fb86fcTest http://europepmc.org/articles/PMC8418842Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....766254d566ac4e2713e0a05b85fb86fc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2476762X 15137368 |
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