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Updated: May 4, 2026

Clinical Imaging of Microwave Mammography
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Improving mammography screening among the medically underserved.

Terry C Davis1, Alfred Rademaker, Charles L Bennett

  • 1Department of Medicine and Pediatrics, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, 71130, USA, Tdavis1@lsuhsc.edu.

Journal of General Internal Medicine
|December 25, 2013
PubMed
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Promoting mammography screening in safety-net clinics increased rates significantly. Nurse support was most effective but may not be cost-effective for resource-limited settings.

Area of Science:

  • Public Health
  • Health Services Research
  • Preventive Medicine

Background:

  • Safety-net clinics serve vulnerable populations with limited resources.
  • Mammography screening is crucial for early breast cancer detection.
  • Existing mammography rates in these settings are often low.

Purpose of the Study:

  • To evaluate the effectiveness and cost-effectiveness of interventions promoting mammography in safety-net settings.
  • To compare three different intervention strategies: enhanced care, health literacy-informed education, and education plus nurse support.

Main Methods:

  • A quasi-experimental study involving eight federally qualified health clinics in rural Louisiana.
  • Recruited 1,181 women aged 40+ eligible for mammography.
  • Measured mammography screening completion rates and incremental cost-effectiveness.

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Main Results:

  • Mammography screening rates increased from <10% at baseline to over 50% across all arms.
  • The education plus nurse support arm showed the highest screening rate (65.8%).
  • Nurse support significantly increased screening likelihood (1.37-fold), but at an incremental cost of $2,457 per additional woman screened.

Conclusions:

  • Educational initiatives substantially increased mammography rates in safety-net clinics.
  • Nurse support and follow-up proved most effective in boosting screening completion.
  • This intervention's cost-effectiveness and affordability are questionable for resource-limited clinics.