Improving the adherence of urban women to mammography guidelines: strategies for radiologists.

Abstract

Only 16% of women over 40 years of age are being screened regularly with mammography. To learn what radiologists and technologists can do to increase patient adherence to the screening guidelines of the American Cancer Society, especially by poor, urban women, the authors surveyed patients at a county facility immediately after mammography to document the patients' experiences with technologists and the procedure. Analysis of these data led to the conclusion that the radiologist should encourage an expanded role for the technologist as a breast health educator. By incorporating the use of a well-designed patient brochure, technologists can greatly enhance their effectiveness by decreasing the patient's anxiety and increasing her understanding of the procedure and of the importance of screening. Radiologists need to appreciate the potential of an expanded technologist's role for increasing future referrals.

The Influence of Mammographic Technologists on Radiologists' Ability to Interpret Screening Mammograms in Community Practice

“…(43) In another study aimed at identifying ways to increase patient adherence of screening mammography, survey responses suggested an expansion of the technologist role to that of a breast health educator, with a focus on decreasing patient anxiety, increasing the patient’s understanding of the procedure, and discussing the importance of regular screening. (44)…”

Auditoria em centro de diagnóstico mamário para detecção precoce de câncer de mama

“…Para que a mamografia contribua na detecção precoce do câncer de mama, tivemos a padronização do nosso laudo mamográfico utilizada por dois radiologistas do CDM, que revisaram todos os laudos das mamografias executadas pelas duas técnicas treinadas para o projeto, supervisionadas pelo médico residente. Um físico responsável e a utilização do mesmo equipamento mamográfico também garantiram um programa de controle de qualidade (6,(29)(30)(31)(32)(33)(34) .…”

Prostate Cancer Screening in the Midst of Controversy: Canadian Men’s Knowledge, Beliefs, Utilization, and Future Intentions

“…The survey was developed and pretested for computer-assisted telephone interviewing. Since most cancer screening surveys have studied women, [42][43][44][45][46][47][48][49] we conducted focus groups and one-on-one interviews to uncover issues and terminology relevant to men. The selection of variables was guided by the PRECEDE-PROCEED model for health planning.…”