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    <abstract>It has been asserted elsewhere that widespread use of cytologic screening can prevent mortality from cancer of the uterine cervix. The truth of this assertion depends upon three main factors: on the probability that cases of invasive cervical cancer are preceded by an earlier, less malignant stage (called carcinoma in situ); on the probability that the screening test (the Pap smear) can detect cases of carcinoma in situ; and on the probability that a woman will be screened, and screened repeatedly, for this disease. 

This paper examines the third factor. We ask what factors influence whether and how often a woman will be screened. After having determined these factors, we can suggest how they should affect the efficient design of a screening program.</abstract>
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