OBJECTIVE: The purpose of this investigation was to determine family physicians' and gynecologists' attitudes toward and understanding of the Bethesda System, a new cervical cytology classification and reporting system. METHODS: A convenience sample of 159 family physicians and gynecologists completed a questionnaire that assessed attitudes, knowledge, and opinions about the Bethesda System. RESULTS: Compared with family physicians, gynecologists thought the Bethesda System was more likely to cause patient management problems (p < 0.001) and preferred not to combine viral cytologic effects with mild dysplasia when reporting a low-grade squamous intraepithelial lesion (p < 0.004). However, increased understanding of the system by physicians correlated with greater preference for the Bethesda System (p < 0.02). In this exploratory study, family physicians, rather than gynecologists, were more inclined to use the Bethesda System and perceived it as a means to reduce clinical evaluation and patient management problems. Gynecologists reported a fuller understanding of the Bethesda System, yet they were more critical of the cytology categorizations. Within each specialty, greater understanding of the Bethesda System led to its wider acceptance.
|Original language||English (US)|
|Number of pages||7|
|Journal||The Family practice research journal|
|Publication status||Published - Sep 1 1993|
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