Feldman J P, Donnelly E F, Fulton J P, Smith R A, DeBuono B A, Scott H D
Chronic Disease Division, RI Department of Health, Providence.
R I Med J (1976). 1990 Dec;73(12):591-7.
In 1987, the Rhode Island Department of Health conducted a survey of Rhode Island primary care physicians to determine their attitudes and practices regarding breast cancer screening, particularly their use of clinical breast exam (CBE) and referral for screening mammography, and compared the data with information obtained from primary care physicians in the US in 1984 and 1989. The survey showed that the same percentage of Rhode Island physicians (71%) and physicians nationally (72%) agree with American Cancer Society (ACS) guidelines for breast cancer screening, but Rhode Island physicians refer for mammography (43 vs 37%) and perform CBE (97 vs 80%) according to ACS guidelines more frequently. Cost, reliability and availability were of greater concern to physicians nationally than in Rhode Island. Despite better use of breast cancer screening by Rhode Island physicians, only 43% reported referring for mammography according to guidelines. Since studies indicate that the recommendation of her physician is a key determinant of a woman's decision to have a screening mammogram, physician referral needs to increase in order to meet the Year 2000 Objectives of 80% for screening mammography for women 40 and older.
1987年，罗德岛州卫生部对该州的初级保健医生进行了一项调查，以确定他们对乳腺癌筛查的态度和做法，特别是他们对临床乳房检查（CBE）的使用以及对乳房X光筛查转诊的情况，并将这些数据与1984年和1989年从美国初级保健医生那里获得的信息进行了比较。调查显示，罗德岛州的医生（71%）和全国的医生（72%）同意美国癌症协会（ACS）的乳腺癌筛查指南的比例相同，但罗德岛州的医生根据ACS指南进行乳房X光筛查转诊（43%对37%）和进行CBE（97%对80%）的频率更高。与罗德岛州相比，成本、可靠性和可及性在全国范围内更受医生关注。尽管罗德岛州的医生对乳腺癌筛查的使用情况更好，但只有43%的医生报告称是根据指南进行乳房X光筛查转诊的。由于研究表明，医生的建议是女性决定进行乳房X光筛查的关键决定因素，因此为了实现2000年40岁及以上女性乳房X光筛查率达到80%的目标，需要增加医生转诊的比例。
