MacDowell N M, Nitz-Weiss M, Short A
Graduate Program in Health Services Administration, Xavier University in Cincinnati, Ohio, USA.
Manag Care Q. 2000 Autumn;8(4):11-9.
Despite its efficacy, mammography is substantially underutilized by older women, even those who have access to regular health care. The factors influencing mammogram compliance status are distinctively examined in this study using a commercial health maintenance organization (HMO) population of women ages 50-79 in which there are no known barriers (financial, access, or knowledge) to mammogram compliance. Two variables were significant predictors of compliance status based on logistic regression analyses: belief that a woman should get a mammogram one or more times per year, and willingness to get a mammogram if the physician recommends it. Issues surrounding consistent physician referral are discussed.
尽管乳房X光检查具有有效性，但老年女性对其利用率却很低，即使是那些能够获得常规医疗保健的女性也是如此。本研究使用了一个商业健康维护组织（HMO）中年龄在50 - 79岁的女性群体，在这个群体中不存在已知的乳房X光检查依从性障碍（经济、获取途径或知识方面），对影响乳房X光检查依从性状况的因素进行了独特的研究。基于逻辑回归分析，有两个变量是依从性状况的显著预测因素：认为女性每年应该进行一次或多次乳房X光检查的信念，以及如果医生建议就愿意进行乳房X光检查的意愿。文中还讨论了围绕医生持续转诊的问题。
