Burns R B, Freund K M, Ash A, Shwartz M, Antab L, Hall R
Section of General Internal Medicine, Boston University Medical Center Hospital, MA, USA.
J Gen Intern Med. 1995 Sep;10(9):520-2. doi: 10.1007/BF02602407.
To determine rates of, and explore physician factors associated with, repeat mammography, administrative data for 791 women aged 50 years and older were examined. Three-fourths of the women (73%) received repeat mammography (i.e., a second mammogram was obtained within six to 18 months of the first). Provider factors associated with higher repeat mammography rates were: being a woman, practicing in the women's health group rather than the general internal medicine service, and being a fellow or an attending physician (p-values < 0.01). Patients of women attendings/fellows had higher repeat mammography rates than did those of men attendings/fellows, men residents, and women residents. Characteristics (gender, level of training) of providers strongly influence their patients' screening behavior.
为了确定50岁及以上女性重复进行乳房X光检查的比率，并探究与之相关的医生因素，我们对791名50岁及以上女性的管理数据进行了检查。四分之三的女性（73%）接受了重复乳房X光检查（即在首次检查后的6至18个月内进行了第二次乳房X光检查）。与较高重复乳房X光检查率相关的医疗服务提供者因素包括：女性、在女性健康小组而非普通内科服务部门执业，以及身为研究员或主治医师（p值<0.01）。女性主治医师/研究员的患者比男性主治医师/研究员、男性住院医师和女性住院医师的患者有更高的重复乳房X光检查率。医疗服务提供者的特征（性别、培训水平）强烈影响其患者的筛查行为。
