WHO GETS REPEAT SCREENING MAMMOGRAPHY - THE ROLE OF THE PHYSICIAN

被引：21

作者：

BURNS, RB

FREUND, KM

ASH, A

SCHWARTZ, M

ANTAB, L

HALL, R

机构：

[1] Section of General Internal Medicine, Boston University Medical Center Hospital, Boston, Massachusetts

[2] Women’S Health Unit, Evans Department of Medicine, Boston University Medical Center Hospital, Boston, Massachusetts

[3] The School of Management, Boston University, Boston, Massachusetts

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1995年 / 10卷 / 09期

关键词：

BREAST CANCER; SCREENING; MAMMOGRAPHY; PHYSICIANS; PRACTICE PATTERNS; GENDER EFFECTS;

D O I：

10.1007/BF02602407

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

To determine rates of, and explore physician factors associated with, repeat mammography, administrative data for 791 women aged 50 years and older were examined. Three-fourths of the women (73%) received repeat mammography (i,e., a second mammogram was obtained within six to 18 months of the first). Provider factors associated with higher repeat mammography rates were: being a woman, practicing in the women's health group rather than the general internal medicine service, and being a fellow or an attending physician (p-values < 0.01). Patients of women attendings/fellows had higher repeat mammography rates than did those of men attendings/fellows, men residents, and women residents, Characteristics (gender, level of training) of providers strongly influence their patients' screening behavior.

引用

页码：520 / 522

页数：3

共 13 条

[1]

Healthy People 2000: national health promotion and disease prevention objectives—full report, with commentary, (1991)

[2]

Horton J.A., Romans M.C., Cruess D.F., Mammography attitudes and usage study, 1992, Womens Health Issues, 2, (1992)

[3]

Lerman L., Rimer B., Trock B., Balshem A., Engstrom P.R., Factors associated with repeat adherence to breast cancer screening, Prev Med, 19, (1990)

[4]

SAS System for Linear Models, (1991)

[5]

Zapka J.G., Stoddard A., Maul L., Costanza M.E., Interval adherence to mammography screening guidelines, Med Care, 29, pp. 697-707, (1991)

[6]

Bergner M., Allison C.J., Diehr P., Ford L.G., Feigl P., Early detection and control of cancer in clinical practice, Arch Intern Med, 150, (1990)

[7]

Lurie N., Slater J., McGovern P., Ekstrum J., Quam L., Margolis K., Preventive care for women. Does the sex of the physician matter?, N Engl J Med, 329, (1993)

[8]

Franks P., Clancy C.M., Screening for cancer in primary care, Med Care, 31, (1993)

[9]

Osborn E.H., Bird J.A., McPhee S.J., Rodnick J.E., Fordham D., Cancer screening by primary care physicians. Can we explain the differences?, J Fam Pract, 32, (1991)

[10]

Woo B., Woo B., Cook E.F., Weisberg M., Goldman L., Screening procedures in the asymptomatic adult. Comparison of physicians’ recommendations, patient desires, published guidelines, and actual practice, JAMA, 254, (1985)

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