Patient and Provider Perspectives on Mammographic Breast Density Notification Legislation.
Patient and Provider Perspectives on Mammographic Breast Density Notification Legislation.
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DOI：
10.1177/2381468316680620
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发表时间：
2016-07-01
影响因子：
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通讯作者：
Haas, Jennifer S
中科院分区：
文献类型：
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作者：
Klinger, Elissa V;Kaplan, Celia P;Haas, Jennifer S
背景：在许多州，患者的倡导促进了乳房X线摄影乳腺密度（MBD）通知立法的实施。很少有人知道的观点，妇女，初级保健医生（PCP），乳腺放射科医生在回应这项立法。本研究的目的是从这些多个利益相关者那里获得定性信息，以了解关于MBD通知主题的各种观点，并为实施提供最佳实践。研究方法：对来自女性焦点组（2组，共16名参与者）的叙述性数据进行内容分析，并对PCP（n = 7）和乳腺放射科医生（n = 7）进行深入访谈。结果如下：数据中出现了三个主要主题：1）关于立法的知识和一般态度，2）对后果的担忧，以及3）患者和临床医生应根据MBD信息考虑采取的行动。对于这些主题中的每一个，女性，PCP和放射科医生的观点往往表现出不同的观点。结论：这项工作支持需要明确和简洁的工具，为患者和供应商了解MBD在妇女的整体乳腺癌风险的背景下，指导下一步。
Background: Patient advocacy has fostered the implementation of mammographic breast density (MBD) notification legislation in many states. Little is known about the perspectives of women, primary care physicians (PCPs), and breast radiologists in response to this legislation. The objective of this research was to elicit qualitative information from these multiple stakeholders to understand varied perspectives on the subject of MBD notification and inform best practices around implementation. Methods: Content analysis of narrative data from focus groups with women (2 groups, total of 16 participants) and in-depth interviews with PCPs (n = 7) and breast radiologists (n = 7). Results: Three major themes emerged from the data: 1) knowledge and general attitudes about legislation, 2) concerns about consequences, and 3) actions patients and clinicians should consider based on MBD information. For each of these themes, the views of women, PCPs, and radiologists often demonstrated different perspectives. Conclusion: This work supports the need for clear and concise tools for patients and providers to understand MBD in the context of a woman's overall breast cancer risk with guidance on next steps.