Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis

Introduction The National Cervical Screening Programme (NCSP) will switch from cervical cytology to Human Papillomavirus (HPV) testing as the primary cervical screening modality in 2023. To prepare for rollout an implementation study of HPV testing in primary care commenced in August 2022 in three...

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Main Authors: Susan Garrett, Peter Sykes, Debra Smith, John McMenamin, Ben Hudson, Lynn McBain, Thomas Mullally, Morgan Rush, Kayden Borchowsky
Format: Article
Language:English
Published: CSIRO Publishing 2023-01-01
Series:Journal of Primary Health Care
Subjects:
Online Access:https://www.publish.csiro.au/hc/pdf/HC23038
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author Susan Garrett
Peter Sykes
Debra Smith
John McMenamin
Ben Hudson
Lynn McBain
Thomas Mullally
Morgan Rush
Kayden Borchowsky
author_facet Susan Garrett
Peter Sykes
Debra Smith
John McMenamin
Ben Hudson
Lynn McBain
Thomas Mullally
Morgan Rush
Kayden Borchowsky
author_sort Susan Garrett
collection DOAJ
description Introduction The National Cervical Screening Programme (NCSP) will switch from cervical cytology to Human Papillomavirus (HPV) testing as the primary cervical screening modality in 2023. To prepare for rollout an implementation study of HPV testing in primary care commenced in August 2022 in three different geographic regions in NZ. Aims This study explores Primary Care Staff’s experience of using the HPV testing pathway in the ‘Let’s test for HPV’ study so that recommendations can be made to improve the testing process before nationwide roll-out. Method Thirty-nine primary care staff were interviewed across all 17 practices in the Capital and Coast, Canterbury and Whanganui region participating in the ‘Let’s Test For HPV’ study. In total 19 interviews took place which followed a semi-structured approach. These interviews were recorded and transcribed. Template analysis was carried out on transcripts to aid in identifying themes. Results Three key themes, with additional subthemes, were identified. Staff were strongly supportive of the new testing regime. Interviewees identified some issues with the new pathway. Educational needs for both patients and clinicians were identified. Conclusion Primary care staff described the experience of using the HPV testing pathway positively; however, there were requests for ongoing additional support and nationwide rollout to be supported by practitioner and patient education programmes. With the right support this new pathway for cervical cancer screening has the potential to improve access for previously underserved and unserved groups.
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spelling doaj.art-6b6787349bc94386b58810467545cd112023-06-30T18:45:39ZengCSIRO PublishingJournal of Primary Health Care1172-61562023-01-01152147154HC23038Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysisSusan Garrett0Peter Sykes1Debra Smith2John McMenamin3Ben Hudson4Lynn McBain5Thomas Mullally6Morgan Rush7Kayden Borchowsky8Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand.Department of Obstetrics and Gynaecology, University of Otago, Christchurch, New Zealand.Health and Research Collaborative, Wicksteed Street, Whanganui, New Zealand.Health and Research Collaborative, Wicksteed Street, Whanganui, New Zealand.Department of Primary Care and Clinical Simulation, University of Otago, Christchurch, New Zealand.Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand.Department of Primary Care and Clinical Simulation, University of Otago, Christchurch, New Zealand.Health and Research Collaborative, Wicksteed Street, Whanganui, New Zealand.Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand. Introduction The National Cervical Screening Programme (NCSP) will switch from cervical cytology to Human Papillomavirus (HPV) testing as the primary cervical screening modality in 2023. To prepare for rollout an implementation study of HPV testing in primary care commenced in August 2022 in three different geographic regions in NZ. Aims This study explores Primary Care Staff’s experience of using the HPV testing pathway in the ‘Let’s test for HPV’ study so that recommendations can be made to improve the testing process before nationwide roll-out. Method Thirty-nine primary care staff were interviewed across all 17 practices in the Capital and Coast, Canterbury and Whanganui region participating in the ‘Let’s Test For HPV’ study. In total 19 interviews took place which followed a semi-structured approach. These interviews were recorded and transcribed. Template analysis was carried out on transcripts to aid in identifying themes. Results Three key themes, with additional subthemes, were identified. Staff were strongly supportive of the new testing regime. Interviewees identified some issues with the new pathway. Educational needs for both patients and clinicians were identified. Conclusion Primary care staff described the experience of using the HPV testing pathway positively; however, there were requests for ongoing additional support and nationwide rollout to be supported by practitioner and patient education programmes. With the right support this new pathway for cervical cancer screening has the potential to improve access for previously underserved and unserved groups. https://www.publish.csiro.au/hc/pdf/HC23038cervical cancercervical screeninghealth services researchHPVhuman papillomavirusself-sampling,self-testing
spellingShingle Susan Garrett
Peter Sykes
Debra Smith
John McMenamin
Ben Hudson
Lynn McBain
Thomas Mullally
Morgan Rush
Kayden Borchowsky
Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
Journal of Primary Health Care
cervical cancer
cervical screening
health services research
HPV
human papillomavirus
self-sampling,self-testing
title Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
title_full Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
title_fullStr Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
title_full_unstemmed Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
title_short Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis
title_sort primary care experiences in the let s test for hpv study a qualitative analysis
topic cervical cancer
cervical screening
health services research
HPV
human papillomavirus
self-sampling,self-testing
url https://www.publish.csiro.au/hc/pdf/HC23038
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