Barriers to timely mammography.

HMO practice Pub Date : 1996-09-01
M Mastroberti, J E Stein
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Abstract

A survey of 399 women between 50 and 59 years of age was conducted to learn how we could improve their compliance with mammography screening guidelines. Our results showed that 78% of the women surveyed believed their physician would tell them if they needed a mammogram. Women who had not had a mammogram were more likely to be misinformed about indications for mammography than women who had had a mammogram. Women who had not had a mammogram were less likely to visit a health center than were women who had had a mammogram. A multifaceted approach including patient education to correct misinformation, reminder systems for women not seen regularly in health centers, and physician reminders may have the most impact.

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及时进行乳房x光检查的障碍。
我们对399名年龄在50到59岁之间的女性进行了调查,以了解我们如何提高她们对乳房x光检查指南的依从性。我们的研究结果显示,78%的受访女性相信她们的医生会告诉她们是否需要做乳房x光检查。没有做过乳房x光检查的妇女比做过乳房x光检查的妇女更容易被错误地告知乳房x光检查的适应症。没有做过乳房x光检查的妇女比做过乳房x光检查的妇女更不可能去保健中心。采取多方面的方法,包括对患者进行教育以纠正错误信息,为不经常到保健中心就诊的妇女建立提醒系统,以及医生提醒,可能会产生最大的影响。
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