Show simple item record

dc.contributor.authorMay, Daniel S.
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorFunkhouser, Ellen M.
dc.contributor.authorFouad, Mona N.
dc.date2022-08-11T08:10:35.000
dc.date.accessioned2022-08-23T17:13:47Z
dc.date.available2022-08-23T17:13:47Z
dc.date.issued1999-03-26
dc.date.submitted2010-04-27
dc.identifier.citationPrev Med. 1999 Apr;28(4):386-94. <a href="http://dx.doi.org/10.1006/pmed.1998.0443">Link to article on publisher's site</a>
dc.identifier.issn0091-7435 (Linking)
dc.identifier.doi10.1006/pmed.1998.0443
dc.identifier.pmid10090868
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46811
dc.description.abstractBACKGROUND: Guidelines recommend that women ages 50-75 years receive screening mammography every 1-2 years. We related receipt of physician recommendations for mammography and patient adherence to such recommendations to several patient characteristics. METHODS: We retrospectively reviewed medical records of 1,111 women ages 50-75 attending three clinics in an urban university medical center. We ascertained overall compliance with mammography guidelines and two components of compliance: receipt of a physician recommendation and adherence to a recommendation. Outcome measures were the proportion of patients demonstrating each type of compliance and adjusted odds ratios, according to several patient-related characteristics. RESULTS: Overall, 66% of women received a recommendation. Of women receiving a documented recommendation, 75% adhered. Factors showing significant positive associations with receiving a recommendation included being a patient in the general internal medicine clinic, having private insurance, visiting the clinic more often, and having a recent Pap smear. Patient adherence was positively associated with private insurance and Pap smear history, negatively associated with internal medicine, and not associated with visit frequency. CONCLUSIONS: Patient factors influencing physician mammography recommendations may be different from those associated with patient adherence, except for having private health insurance, which was a predictor of both.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=10090868&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1006/pmed.1998.0443
dc.subjectAged
dc.subjectAlabama
dc.subjectBreast Neoplasms
dc.subjectFemale
dc.subjectGuideline Adherence
dc.subjectHealth Care Surveys
dc.subjectHumans
dc.subjectInsurance, Health
dc.subjectMammography
dc.subjectMiddle Aged
dc.subjectPatient Compliance
dc.subjectPhysician's Practice Patterns
dc.subjectPractice Guidelines as Topic
dc.subjectPrimary Health Care
dc.subjectReferral and Consultation
dc.subjectRetrospective Studies
dc.subjectStatistics as Topic
dc.subjectBioinformatics
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleCompliance with mammography guidelines: physician recommendation and patient adherence
dc.typeJournal Article
dc.source.journaltitlePreventive medicine
dc.source.volume28
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/128
dc.identifier.contextkey1287873
html.description.abstract<p>BACKGROUND: Guidelines recommend that women ages 50-75 years receive screening mammography every 1-2 years. We related receipt of physician recommendations for mammography and patient adherence to such recommendations to several patient characteristics.</p> <p>METHODS: We retrospectively reviewed medical records of 1,111 women ages 50-75 attending three clinics in an urban university medical center. We ascertained overall compliance with mammography guidelines and two components of compliance: receipt of a physician recommendation and adherence to a recommendation. Outcome measures were the proportion of patients demonstrating each type of compliance and adjusted odds ratios, according to several patient-related characteristics.</p> <p>RESULTS: Overall, 66% of women received a recommendation. Of women receiving a documented recommendation, 75% adhered. Factors showing significant positive associations with receiving a recommendation included being a patient in the general internal medicine clinic, having private insurance, visiting the clinic more often, and having a recent Pap smear. Patient adherence was positively associated with private insurance and Pap smear history, negatively associated with internal medicine, and not associated with visit frequency.</p> <p>CONCLUSIONS: Patient factors influencing physician mammography recommendations may be different from those associated with patient adherence, except for having private health insurance, which was a predictor of both.</p>
dc.identifier.submissionpathqhs_pp/128
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages386-94


This item appears in the following Collection(s)

Show simple item record