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Related Experiment Videos

Using an office system intervention to increase breast cancer screening

L S Kinsinger1, R Harris, B Qaqish

  • 1Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, USA.

Journal of General Internal Medicine
|September 12, 1998
PubMed
Summary

An outreach program modestly improved office systems and mammography documentation in primary care practices. However, it had little impact on actual breast cancer screening rates, indicating a need for further development of such interventions.

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Area of Science:

  • Primary Care Medicine
  • Public Health
  • Medical Education

Background:

  • Improving breast cancer screening rates is crucial for early detection and improved patient outcomes.
  • Community primary care practices play a vital role in delivering cancer screening services.
  • Implementing effective office systems can enhance the consistency and quality of screening practices.

Purpose of the Study:

  • To evaluate an innovative outreach intervention aimed at enhancing breast cancer screening performance in community primary care settings.
  • To assess the impact of implementing tailored office systems on screening rates.
  • To determine the effectiveness of continuing medical education strategies in improving cancer screening practices.

Main Methods:

  • A randomized, controlled trial design was employed, with primary care practices serving as the unit of analysis.

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  • Sixty-two family medicine and general internal medicine practices in rural North Carolina participated.
  • An 18-month outreach intervention involved physician investigators and facilitators providing feedback and assisting practices in developing office systems for breast cancer screening.

    • Main Results:

    • Intervention practices showed significant improvements in three out of five office system indicators compared to control practices.
    • Mammography mention in visit notes increased more in intervention practices (39% to 51%) than in control practices (41% to 44%), p = .01.
    • No significant differences were observed in the change of reported mammograms or clinical breast examinations between the groups.

    Conclusions:

    • The outreach intervention showed modest success in improving office systems and mammography documentation but had limited impact on actual breast cancer screening performance.
    • Few practices fully implemented the proposed office systems for breast cancer screening.
    • Outreach strategies for implementing office systems show promise but require further refinement to effectively increase screening rates.