Chen Yi-Ren, Chang-Halpenny Christine, Kumarasamy Narmadan A, Venegas Angela, Braddock Iii Clarence H
Department of Neurosurgery, Stanford University School of Medicine.
Radiation Oncology, Kaiser Permanente Southern California.
Cureus. 2016 Feb 12;8(2):e494. doi: 10.7759/cureus.494.
Our aim was to examine underserved women's perceptions on mobile versus fixed mammography in Santa Clara, California through a focus group study.
Research has shown that medically underserved women have higher breast cancer mortality rates correlated with under-screening and a disproportional rate of late-stage diagnosis. The Community Health Partnership in Santa Clara County, California runs the Community Mammography Access Project (CMAP) that targets nearly 20,000 medically underserved women over the age of 40 in the county through the collaborative effort of an existing safety net of healthcare providers. However, little data exists on the advantages or disadvantages of mobile mammography units from the patient perspective.
We assessed underserved women's perspectives on mammography services in Santa Clara County through two focus groups from women screened at mobile or fixed site programs. Patients were recruited from both CMAP clinics and a county hospital, and focus group data were analyzed using content analysis.
We found that women from both the mobile and fixed sites shared similar motivating factors for getting a mammogram. Both groups recognized that screening was uncomfortable but necessary for good health and had positive feedback about their personal physicians. However, mobile participants, in particular, appreciated the atmosphere of mobile screening, reported shorter wait times, and remarked on the good communication from the clinic staff and empathetic treatment they received. However, mobile participants also expressed concern about the quality of films at mobile sites due to delayed initial reading of the films.
Mobile mammography offers a unique opportunity for women of underserved populations to access high satisfaction screenings, and it encourages a model similar to CMAP in other underserved areas. However, emphasis should be placed on providing a warm and welcoming environment for patients and ensuring the quality of mammography images.
我们的目标是通过焦点小组研究，调查加利福尼亚州圣克拉拉地区医疗服务不足的女性对移动乳腺钼靶检查和固定乳腺钼靶检查的看法。
研究表明，医疗服务不足的女性乳腺癌死亡率较高，这与筛查不足以及晚期诊断比例过高相关。加利福尼亚州圣克拉拉县的社区健康伙伴关系开展了社区乳腺钼靶检查准入项目（CMAP），通过现有的医疗服务提供者安全网的共同努力，该项目面向该县近20000名40岁以上医疗服务不足的女性。然而，从患者角度来看，关于移动乳腺钼靶检查设备优缺点的数据很少。
我们通过对在移动或固定地点项目中接受筛查的女性进行两个焦点小组讨论，评估了圣克拉拉县医疗服务不足的女性对乳腺钼靶检查服务的看法。患者从CMAP诊所和一家县医院招募，焦点小组数据采用内容分析法进行分析。
我们发现，来自移动和固定地点的女性进行乳腺钼靶检查的动机因素相似。两组都认识到筛查不舒服，但对健康有益且必要，并且对她们的私人医生给予了积极反馈。然而，特别是移动组的参与者欣赏移动筛查的氛围，报告等待时间较短，并对诊所工作人员的良好沟通和她们所接受的体贴治疗给予评价。然而，移动组参与者也对移动地点的胶片质量表示担忧，因为胶片的初步读片会延迟。
移动乳腺钼靶检查为医疗服务不足人群的女性提供了获得高满意度筛查的独特机会，并鼓励在其他医疗服务不足地区采用类似于CMAP的模式。然而，应强调为患者提供温馨的环境，并确保乳腺钼靶图像的质量。
