Enhancing compliance with screening mammography recommendations: a clinical trial in a primary care office.
Fam Med
; 27(2): 117-21, 1995 Feb.
Article
em En
| MEDLINE
| ID: mdl-7737444
ABSTRACT
BACKGROUND AND OBJECTIVES:
Despite consensus that screening mammography is an appropriate preventive tool, many women do not receive this examination. This study was undertaken to evaluate the relative efficacy and cost-effectiveness of three interventions designed to increase mammography rates.METHODS:
A total of 151 women, aged 50-59, were randomized into four groups control, physician telephone call, medical assistant telephone call, and physician letter.RESULTS:
The women in the medical assistant telephone call group (16 of 37 = 43%) and the physician telephone call group (11 of 38 = 29%) responded significantly better than those in the control group (4 of 38 = 11%) (P < .05). None of the 10 widows in the entire study obtained a mammogram, compared with 38 of 141 (27%) women in all other marital groups (P < .05). The cost per intervention and cost per mammogram obtained were, respectively, physician telephone call $15, $51.82; physician letter $2.50, $13.57; medical assistant call $1.30, $3.CONCLUSIONS:
Medical assistant telephone callers are a cost-effective strategy to encourage mammography adherence. Widows appear particularly resistant to all screening mammography interventions.
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Base de dados:
MEDLINE
Assunto principal:
Agendamento de Consultas
/
Mamografia
/
Cooperação do Paciente
/
Sistemas de Alerta
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article