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提高城市女性对乳腺钼靶检查指南的依从性:放射科医生的策略

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

作者信息

Fox S A, Klos D S, Worthen N J, Pennington E, Bassett L W, Gold R H

机构信息

Division of Family Medicine, UCLA School of Medicine 90024-1683.

出版信息

Radiology. 1990 Jan;174(1):203-6. doi: 10.1148/radiology.174.1.2294548.

DOI:10.1148/radiology.174.1.2294548
PMID:2294548
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.

摘要

40岁以上的女性中只有16%的人定期接受乳房X光检查。为了了解放射科医生和技术人员可以采取哪些措施来提高患者对美国癌症协会筛查指南的依从性,特别是贫困的城市女性,作者在乳房X光检查后立即对一家县级机构的患者进行了调查,以记录患者与技术人员的接触经历以及检查过程。对这些数据的分析得出结论,放射科医生应鼓励技术人员扩大其作为乳房健康教育者的角色。通过使用精心设计的患者手册,技术人员可以通过减轻患者的焦虑并增强她对检查过程和筛查重要性的理解,从而大大提高其工作成效。放射科医生需要认识到技术人员角色扩大对于增加未来转诊的潜力。

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1
Improving the adherence of urban women to mammography guidelines: strategies for radiologists.提高城市女性对乳腺钼靶检查指南的依从性:放射科医生的策略
Radiology. 1990 Jan;174(1):203-6. doi: 10.1148/radiology.174.1.2294548.
2
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The impact of physician compliance on screening mammography for older women.医生依从性对老年女性乳腺钼靶筛查的影响。
Arch Intern Med. 1991 Jan;151(1):50-6.
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Associations in breast and colon cancer screening behavior in women.女性乳腺癌和结肠癌筛查行为的关联。
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The importance of physician communication on breast cancer screening of older women.医生沟通对老年女性乳腺癌筛查的重要性。
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Impact of a mailed intervention on annual mammography and physician breast examinations among women at high risk of breast cancer.邮寄干预措施对乳腺癌高危女性年度乳房X光检查和医生乳腺检查的影响。
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Attitudes of Colorado health professionals toward breast and cervical cancer screening in Hispanic women.科罗拉多州医疗专业人员对西班牙裔女性乳腺癌和宫颈癌筛查的态度。
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The inter-observer variability of breast density scoring between mammography technologists and breast radiologists and its effect on the rate of adjuvant ultrasound.乳腺钼靶技师与乳腺放射科医生之间乳腺密度评分的观察者间变异性及其对辅助超声检查率的影响。
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引用本文的文献

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The influence of mammographic technologists on radiologists' ability to interpret screening mammograms in community practice.乳腺摄影技师对社区实践中放射科医生解读乳腺筛查X光片能力的影响。
Acad Radiol. 2015 Mar;22(3):278-89. doi: 10.1016/j.acra.2014.09.013. Epub 2014 Nov 27.
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Prostate cancer screening in the midst of controversy: Canadian men's knowledge, beliefs, utilization, and future intentions.争议中的前列腺癌筛查:加拿大男性的知识、信念、利用情况及未来意向
Can J Public Health. 1997 Sep-Oct;88(5):327-32. doi: 10.1007/BF03403900.