Predictors of screening mammography: implications for office practice.
Predictors of screening mammography: implications for office practice.
复制标题
筛查乳房X光检查的预测因素：对办公室实践的影响。
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
D. Weismiller
中科院分区：
文献类型：
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作者：
D. Cummings;L. Whetstone;A. Shende;D. Weismiller
背景
50岁及50岁以上妇女完成乳房X光检查和其他预防性保健服务仍然是一项重要的保健质量指标。
方法
从基于人口的抽样中抽取了843名农村妇女（年龄≥ 50岁）的双胞胎样本，报告了去年人口统计和预防保健服务的利用情况，包括完成乳房X线检查。双变量分析和逻辑回归被用来调查在何种程度上完成其他筛查检查，包括巴氏涂片（Pap）和临床乳腺检查，与成功完成乳房X线摄影相对于人口和卫生服务变量。
结果
完成乳房X光检查与年龄，种族，教育，健康保险和常规初级保健医生的存在有关，但最强的预测因素是完成临床乳房检查和/或巴氏涂片检查。
结论
接受临床乳房检查和/或巴氏涂片检查的妇女似乎更有可能接受乳房X光检查，这表明筛查服务具有协同作用。应在初级保健环境中进一步探讨干预措施的相对有效性，以增加完成临床乳房检查以及其他年龄适当的预防服务，在日常办公室访问或在一个单一的预防服务办公室访问。住院医师计划应提供培训，成功地将这些服务纳入办公室的实践模式，努力不断提高护理质量。
BACKGROUND
The completion of annual screening mammography and other preventive health services among women aged 50 years and older remains an important quality of care indicator.
METHODS
A biracial sample of 843 rural women (aged > or =50 years) from a population-based sample reported demographic and preventive health services utilization in the last year including the completion of screening mammography. Bivariate analysis and logistic regression were used to investigate the extent to which completion of other screening examinations, including Papanicolaou (Pap) smears and clinical breast examination, is associated with successful completion of mammography relative to demographic and health service variables.
RESULTS
The completion of mammography was associated with age, race, education, health insurance, and the presence of a regular primary care physician, but the strongest predictors were the completion of a clinical breast examination and/or a Pap smear.
CONCLUSIONS
Women who receive a clinical breast examination and/or a Pap smear appear far more likely to receive screening mammography, suggesting a synergy in screening services. The relative efficacy of interventions to increase the completion of clinical breast examinations as well as other age-appropriate preventive services during routine office visits or during a single preventive services office visit should be further explored in primary care settings. Residency programs should provide training on the successful incorporation of such services into office practice patterns in an effort to continually improve quality of care.