Abstract：
OBJECTIVE:To identify the communication factors that are significantly associated with appropriate short-term follow-up of abnormal mammograms. DESIGN:Prospective longitudinal study involving medical record review and patient survey. SETTING:Ten academically affiliated ambulatory medical practices in the Boston metropolitan area. PARTICIPANTS:One hundred twenty-six women with abnormal mammograms requiring short-term (6 months) follow-up imaging. MEASUREMENTS:Proportion of women in the study who received appropriate follow-up care. RESULTS:Eighty-one (64%) of the women with abnormal mammograms requiring short-term follow-up imaging received the appropriate follow-up care. After adjusting for patients' age and insurance status, 2 communication factors were found to be independently associated with the delivery of appropriate follow-up care: 1). physicians' documentation of a follow-up plan in the medical record (adjusted odds ratio, 2.79; 95% confidence interval, 1.11 to 6.98; P =.029); and 2). patients' understanding of the need for follow-up (adjusted odds ratio, 3.86; 95% confidence interval, 1.50 to 9.96; P =.006). None of the patients' clinical or psychological characteristics were associated with the delivery of appropriate follow-up care. CONCLUSIONS:Follow-up care for women with abnormal mammograms requiring short-term follow-up imaging is suboptimal. Documentation of the follow-up plan by the physician and understanding of the follow-up plan by the patient are important factors that are correlated with the receipt of appropriate follow-up care for these women. Interventions designed to improve the quality of result follow-up in the outpatient setting should address these issues in patient-doctor communication.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Poon EG,Haas JS,Louise Puopolo A,Gandhi TK,Burdick E,Bates DW,Brennan TAdoi
10.1111/j.1525-1497.2004.30357.xsubject
Has Abstractpub_date
2004-04-01 00:00:00pages
316-23issue
4eissn
0884-8734issn
1525-1497pii
JGI30357journal_volume
19pub_type
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