ObjectivesThis study compares the follow-up rates of non-normal cervical screening samples between Denmark and Flanders (Belgium) to illuminate whether organizational differences between the health systems might affect the follow-up rates, e.g. sending of reminders in Denmark since 2012 compared to Flanders with no such system in place.MethodsThe study population included 48,082 Danish women and 22,271 Flemish women who received abnormal or inadequate primary screening results from 2014 to 2016. The participants were followed for 24 months, and the timeliness and appropriateness of the recommended follow-up, according to national guidelines, were evaluated.ResultsAfter 18 months over 90% of the Danish women had received some form of follow-up, while in Flanders, this level is achieved only for those who test positive for human papillomavirus. The analysis also revealed that 10–28% of follow-ups were performed too early, with Danish women showing the highest proportions. In both regions, general practitioners (GPs) exhibited better follow-up rates compared to gynaecologists, with gynaecologists displaying a tendency towards earlier re-testing than recommended.ConclusionsAn important factor influencing the follow-up rate may be the sending of reminders in Denmark since 2012, as the follow-up rates in general were higher in this period. It is noteworthy that a reminder system is currently being implemented in Flanders and further studies on the potential effects should be studied. Additionally, the organization of the health system might influence the follow-up rate, as engaging the GP for screening in Denmark may have had a positive effect.

中文翻译：

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宫颈癌筛查的随访率如何取决于组织因素：两种基于人群的有组织筛查计划的比较

目的本研究比较了丹麦和佛兰德斯（比利时）之间非正常宫颈筛查样本的随访率，以阐明卫生系统之间的组织差异是否可能影响随访率，例如与佛兰德斯相比，自 2012 年以来丹麦发送提醒的情况方法 研究人群包括 48,082 名丹麦女性和 22,271 名佛兰德斯女性，她们在 2014 年至 2016 年间接受了异常或不充分的初步筛查结果。对参与者进行了 24 个月的随访，并评估了建议随访的及时性和适当性根据国家指南，进行了评估。结果 18 个月后，超过 90% 的丹麦女性接受了某种形式的随访，而在佛兰德斯，只有那些人乳头瘤病毒检测呈阳性的女性才能达到这一水平。分析还显示，10-28% 的随访进行得太早，其中丹麦女性的比例最高。在这两个地区，与妇科医生相比，全科医生 (GP) 表现出更好的随访率，妇科医生表现出比建议更早进行重新检测的倾向。 结论影响随访率的一个重要因素可能是在丹麦发送提醒，因为2012 年，这一时期的随访率总体较高。值得注意的是，目前佛兰德斯正在实施提醒系统，应进一步研究其潜在影响。此外，卫生系统的组织可能会影响随访率，因为在丹麦让全科医生进行筛查可能会产生积极的影响。