Improving the utilization of screening mammography in primary care practices. Arch Intern Med 1989 Sep;149(9):2087-92
Date
09/01/1989Pubmed ID
2774785Scopus ID
2-s2.0-0024430699 (requires institutional sign-in at Scopus site) 50 CitationsAbstract
Screening mammography is underutilized in many primary care practices. We designed a prospective, controlled trial to evaluate two strategies for improving the utilization of mammography in an academic general medicine clinic. We assigned teams of house officers to (1) physician audit with periodic feedback, (2) a visit-based strategy directed at both patient and physician, or (3) a no intervention concurrent control arm. After 6 months, the percentage of 50- to 74-year-old women meeting the standard of an annual mammogram was 36% for patients in the control arm, 62% for patients of feedback residents, and 54% for patients of the arm receiving the visit-based strategy. Patients of female providers were slightly more likely to meet the standard, but no effects were detected for patient race, new as opposed to follow-up patient, or higher frequency of clinic visits. We conclude that audit with feedback and a new visit-based strategy of a patient cue associated with a simplification of the ordering process each greatly improved the rate of utilization of screening mammography. Practitioners could reasonably choose the strategy most suited to their own situation.
Author List
Nattinger AB, Panzer RJ, Janus JAuthor
Ann B. Nattinger MPH, MD Vice Dean, Associate Provost, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAttitude to Health
Breast Neoplasms
Female
Humans
Mammography
Mass Screening
Middle Aged
New York
Prospective Studies
