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Impact Of A Physician Intervention Program To Increase Breast Cancer Screening, Mary E. Costanza, Jane G. Zapka, Donald R. Harris, David W. Hosmer, Robin S. Barth, Victoria P. Gaw, Harry L. Greene, Anne M. Stoddard Nov 1992

Impact Of A Physician Intervention Program To Increase Breast Cancer Screening, Mary E. Costanza, Jane G. Zapka, Donald R. Harris, David W. Hosmer, Robin S. Barth, Victoria P. Gaw, Harry L. Greene, Anne M. Stoddard

Women’s Health Research Faculty Publications

In order to improve compliance with the National Cancer Institute's breast cancer screening guidelines, we developed a multifaceted intervention designed to alter physician screening practice. A pre-post test, two-community design was used. Primary care physicians in one community served as the control. Data were collected by two mailed surveys (1987 and 1990). Response rates were 61% and 64%, respectively. The physician intervention program consisted of a hospital-based continuing medical education program and an outreach component which focused on implementing a reminder system. Outcome measures were self-reported attitudinal, knowledge, and screening practices changes. In spite of an impressive change in ...


Changes In Mammography Use: Economic, Need, And Service Factors, Jane G. Zapka, David W. Hosmer, Mary E. Costanza, Donald R. Harris, Anne M. Stoddard Oct 1992

Changes In Mammography Use: Economic, Need, And Service Factors, Jane G. Zapka, David W. Hosmer, Mary E. Costanza, Donald R. Harris, Anne M. Stoddard

Women’s Health Research Faculty Publications

OBJECTIVES. The purpose of this study was to document changes in mammography use between 1987 and 1990 and assess the relationship of use to selected economic, need, and health system factors.

METHODS. Independent random-digit-dialed telephone surveys of women between 52 and 75 years of age were conducted.

RESULTS. Between 1987 and 1990, the proportion of women who had had a mammogram in the past year increased from 31% to 51%. Though income was significantly related to overall patterns of use, it was not associated with recent mammogram use in 1990. Women with a family history of breast cancer reported greater ...