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Related Experiment Videos

Mammography referral patterns among Rhode Island physicians.

J P Feldman1, E F Donnelly, J P Fulton

  • 1Chronic Disease Division, RI Department of Health, Providence.

Rhode Island Medical Journal
|December 1, 1990
PubMed
Summary

Rhode Island physicians frequently perform clinical breast exams (CBE) and follow American Cancer Society (ACS) guidelines for breast cancer screening. However, physician referrals for mammography need improvement to meet national health objectives.

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Area of Science:

  • Oncology
  • Public Health
  • Preventive Medicine

Background:

  • Breast cancer screening is crucial for early detection and improved patient outcomes.
  • Physician practices and attitudes significantly influence patient adherence to screening recommendations.
  • National health objectives aim to increase mammography screening rates among women.

Purpose of the Study:

  • To assess Rhode Island primary care physicians' attitudes and practices regarding breast cancer screening.
  • To compare these practices with national data from 1984 and 1989.
  • To evaluate adherence to American Cancer Society (ACS) guidelines for clinical breast exam (CBE) and mammography referral.

Main Methods:

  • A 1987 survey of Rhode Island primary care physicians.

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  • Comparison of survey data with national physician surveys from 1984 and 1989.
  • Analysis of physician agreement with ACS guidelines for CBE and mammography referral.

    • Main Results:

    • Rhode Island physicians showed high agreement (71%) with ACS screening guidelines, similar to national rates (72%).
    • Rhode Island physicians more frequently performed CBE (97% vs. 80%) and referred for mammography (43% vs. 37%) compared to national physicians.
    • Concerns about cost, reliability, and availability of mammography were greater among national physicians.

    Conclusions:

    • Rhode Island physicians demonstrate strong adherence to breast cancer screening guidelines, particularly for clinical breast exams.
    • Despite higher screening rates, mammography referral rates (43%) fall short of national Year 2000 Objectives (80%).
    • Increasing physician referrals is essential to enhance screening mammography uptake in women aged 40 and older.