Monsees B, Destouet J M, Evens R G
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
Radiology. 1988 Jan;166(1 Pt 1):69-70. doi: 10.1148/radiology.166.1.3336703.
A mammography screening program was initiated in which self-referred women were accepted for examination. Two views of each breast were obtained, and no physical examination was performed. Reports were sent to each patient and to the patient's primary care physician, if she had one. The program was successful in that the number of examinations performed per day increased from 36 to 80 within 6 months. Approximately 50% of the women who came for screening did so at their own request. Self-referred women with abnormal findings on mammograms who did not have a primary care physician were contacted by phone and told of the results. Advice was given for further evaluation, and the patient was referred to a local physician if she still did not know of one. Further workup in patients with abnormal findings was verified with the use of computer tracking and follow-up phone calls. Self-referral is an important component of screening mammography, but it places added responsibility on the radiologist in cases in which there is no referring physician.
启动了一项乳腺钼靶筛查项目，接受自行前来的女性进行检查。对每个乳房拍摄两张片子，不进行体格检查。报告发送给每位患者，如果患者有初级保健医生，也会发送给其初级保健医生。该项目取得了成功，因为在6个月内每天进行的检查数量从36次增加到了80次。前来筛查的女性中约50%是自行要求进行筛查的。对于乳房钼靶检查结果异常且没有初级保健医生的自行前来的女性，通过电话联系并告知其检查结果。给出了进一步评估的建议，如果患者仍不认识医生，则将其转介给当地医生。通过计算机跟踪和后续电话随访核实了对检查结果异常患者的进一步检查情况。自行前来是乳腺钼靶筛查的一个重要组成部分，但在没有转诊医生的情况下，这给放射科医生增加了额外的责任。
