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Self-referral for screening mammography

L G Suter1, J G Elmore

  • 1Yale University School of Medicine, New Haven, CT, USA.

Journal of General Internal Medicine
|November 3, 1998
PubMed
Summary
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Statistics in medicine·2006

Younger women are increasingly obtaining screening mammograms without a primary care provider referral. This self-referral trend is more common at mobile mammography facilities, raising clinical care concerns.

Area of Science:

  • Radiology and Imaging
  • Public Health
  • Women's Health

Background:

  • Screening mammograms can be obtained without a physician's referral, potentially impacting clinical care pathways.
  • Previous studies on mammogram self-referral have limitations, necessitating further investigation.

Purpose of the Study:

  • To examine the phenomenon of patient self-referral for screening mammograms.
  • To identify characteristics and settings associated with self-referred mammograms.

Main Methods:

  • A questionnaire-based study was conducted across nine Connecticut mammography facilities (urban, rural, and mobile).
  • Data were collected from 732 women over a 2-week period, assessing prior primary care visits and referral status.
  • Responses were categorized to define self-referred versus provider-referred screening mammograms.

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Main Results:

  • Self-referred women constituted 6% of respondents.
  • Self-referred women were significantly more likely to be younger than 50 years (44% vs 28%) and use mobile mammography facilities (78% vs 33%).
  • Younger women frequently obtained screening mammograms without documented recent primary care provider consultation or referral.

Conclusions:

  • A notable proportion of younger women are undergoing screening mammography without clear evidence of physician referral.
  • Self-referral for mammography is particularly prevalent in mobile screening settings.
  • Further research is required to understand the clinical implications of self-referral in mammography screening programs.