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Cancer Epidemiology Biomarkers & Prevention, Vol 1, Issue 7 581-589, Copyright © 1992 by American Association for Cancer Research

ARTICLES

Impact of a physician intervention program to increase breast cancer screening

ME Costanza, JG Zapka, DR Harris, D Hosmer, R Barth, VP Gaw, HL Greene and AM Stoddard
Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655.

In order to improve compliance with the National Cancer Institute's breast cancer screening guidelines, we developed a multifaceted intervention designed to alter physician screening practice. A pre-post test, two-community design was used. Primary care physicians in one community served as the control. Data were collected by two mailed surveys (1987 and 1990). Response rates were 61% and 64%, respectively. The physician intervention program consisted of a hospital-based continuing medical education program and an outreach component which focused on implementing a reminder system. Outcome measures were self-reported attitudinal, knowledge, and screening practices changes. In spite of an impressive change in comparison community physicians' practice, the difference in change over time in the intervention community physicians' ordering of annual mammography compared to the change in the comparison community physicians' ordering was significant (P = 0.04). The adjusted odds ratio is nearly 8. We conclude that our in-service continuing medical education program was successful in improving breast cancer screening practices among primary care physicians.


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J. S. Mandelblatt and K. R. Yabroff
Effectiveness of Interventions Designed to Increase Mammography Use: A Meta-Analysis of Provider-targeted Strategies
Cancer Epidemiol. Biomarkers Prev., September 1, 1999; 8(9): 759 - 767.
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B. G. Saver, T. R. Taylor, J. R. Treadwell, and W. G. Cole
Do Physicians Do as They Say? The Case of Mammography
Arch Fam Med, November 1, 1997; 6(6): 543 - 548.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online
Copyright © 1992 by the American Association for Cancer Research.