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Prev Med. 1999 Apr;28(4):386-94.

Compliance with mammography guidelines: physician recommendation and patient adherence.

Author information

  • 1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, 30341, USA. dsm1@cdc.gov

Abstract

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.

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.

Copyright 1999 American Health Foundation and Academic Press.

PMID:
10090868
[PubMed - indexed for MEDLINE]
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