Korn J E, Casey-Paal A, Lazovich D, Ball J, Slater J S
Cancer Control Section, Minnesota Department of Health, Minneapolis 55440-9441, USA.
Public Health Rep. 1997 Mar-Apr;112(2):142-5.
The Minnesota Department of Health surveyed registered mammography facilities to assess their accreditation status prior to full implementation of the Federal Mammography Quality Standards Act (MQSA), which mandated accreditation of all mammography facilities by October 1994; to strategize on the steps that might be taken to avoid closure of facilities; and to evaluate the ultimate impact of the law on the availability of mammography in Minnesota.
Mammography facilities registered with the Radiation Control Section of the state health department were surveyed five months prior to and four months after the October 1994 deadline. Data collected included accreditation status, plans for continuing service, number of mammograms performed, and areas in which technical assistance was needed. In October 1995, the number and distribution of facilities were determined from the Radiation Control Section registration database.
The pre-MQSA survey of 182 respondents found that 96% planned to continue mammography services but only 49% were accredited. The remaining 51% had applications in progress. In the post-MQSA survey, 70% of 182 facilities were found to be accredited, and 30% were operating under provisional certification. As of October 1995, although six facilities had closed, there was a net gain of four mammography facilities providing on-site service.
Despite fears to the contrary, access to mammography in the state of Minnesota was not adversely affected by full implementation of the Mammography Quality Standards Act.
明尼苏达州卫生部对注册的乳腺钼靶检查机构进行了调查，以评估在全面实施《联邦乳腺钼靶质量标准法案》（MQSA）之前它们的认证状态，该法案要求所有乳腺钼靶检查机构在1994年10月前获得认证；制定可能采取的避免机构关闭的措施策略；并评估该法律对明尼苏达州乳腺钼靶检查可及性的最终影响。
在1994年10月截止日期前五个月和之后四个月，对在州卫生部辐射控制科注册的乳腺钼靶检查机构进行了调查。收集的数据包括认证状态、持续服务计划、乳腺钼靶检查的执行数量以及需要技术援助的领域。1995年10月，从辐射控制科注册数据库确定了机构的数量和分布情况。
对182名受访者进行的MQSA实施前调查发现，96%的机构计划继续提供乳腺钼靶检查服务，但只有49%获得了认证。其余51%的机构申请正在进行中。在MQSA实施后调查中，182家机构中有70%被发现获得了认证，30%在临时认证下运营。截至1995年10月，尽管有6家机构关闭，但提供现场服务的乳腺钼靶检查机构净增加了4家。
尽管存在相反担忧，但《乳腺钼靶质量标准法案》的全面实施并未对明尼苏达州乳腺钼靶检查的可及性产生不利影响。
