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Related Experiment Videos

A single issue program in an isolated area: mammography screening in Darwin, NT.

M J McLean1, J R Condon

  • 1Hutt Hospital, Lower Hutt, New Zealand. Margot.Mclean@hvhl.co.nz

Australian and New Zealand Journal of Public Health
|August 27, 1999
PubMed
Summary

The Northern Territory Breast Screen (NTBS) mammography program functioned effectively despite challenges in its initial 18 months. While client and GP satisfaction was high, waiting times for results did not meet performance criteria.

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Area of Science:

  • Public Health
  • Radiology
  • Health Services Research

Background:

  • The Northern Territory Breast Screen (NTBS) program was established to provide mammography screening services.
  • The program's initial operational phase presented unique challenges due to geographical and resource constraints.

Purpose of the Study:

  • To conduct a process evaluation of the NTBS mammography program during its first 18 months.
  • To assess clinical outcomes, client satisfaction, and general practitioner satisfaction.

Main Methods:

  • A review of computerized and manual program records was conducted.
  • Clinical outcomes including waiting times, recall rates, and cancer detection rates were analyzed.
  • Client and general practitioner satisfaction surveys were administered.

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Main Results:

  • 2,882 screening mammograms were performed, with a recall rate of 3.4% (98 women).
  • Breast cancer was detected in 10 women, equating to 3.5 per 1000 women screened.
  • The program demonstrated good client and general practitioner acceptance, but did not meet performance criteria for result waiting times.

Conclusions:

  • Mammography screening programs can be effective in isolated areas, despite challenges like dispersed populations and limited local expertise.
  • Identified challenges for NTBS included population distribution, lack of experienced radiologists, and competing health priorities, particularly for Aboriginal health.
  • Further research is recommended on the psychological impact of delayed results and prioritizing mammography for Aboriginal women.