Communication factors in the follow-up of abnormal mammograms.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Poon, EG; Haas, JS; Louise Puopolo, A; Gandhi, TK; Burdick, E; Bates, DW; Brennan, TA

Published Date

  • April 2004

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • 316 - 323

PubMed ID

  • 15061740

Pubmed Central ID

  • 15061740

Electronic International Standard Serial Number (EISSN)

  • 1525-1497

International Standard Serial Number (ISSN)

  • 0884-8734

Digital Object Identifier (DOI)

  • 10.1111/j.1525-1497.2004.30357.x

Language

  • eng