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Increasing compliance with mammography recommendations: health assessment forms.

Publication ,  Journal Article
Yarnall, KS; Michener, JL; Broadhead, WE; Tse, CK
Published in: J Fam Pract
January 1993

BACKGROUND: Inexpensive reminder systems are needed to ensure that primary care physicians consistently provide health maintenance services to their patients. The purpose of this study was to determine the effectiveness of a simple, inexpensive health assessment form in place of the standard chart note to increase physician compliance with mammography recommendations. METHODS: A health assessment form with a reminder for screening mammography was implemented in a family practice in 1987 and was to be used as the official chart record for health maintenance visits. The charts of all women 50 years of age and older with two or more office visits during the years 1985 through 1988 were audited to determine how many mammograms were completed. Results were compared with mammography completion rates at a similar practice that did not use a health assessment form. RESULTS: The study group showed a significant increase in mammography completion after implementation of the form, with compliance increasing from 7.3% to 32.0% (P < .001). The comparison group had an increase in mammogram completion from 12.0% to 17.8% (P < .001). The difference between the changes in rates of mammography in the two practices was statistically significant (P < .001). Among women in the study group who had a scheduled health maintenance visit during the study period the average rate of mammography completion increased from 21.2% to 65.2% (P < .001). CONCLUSIONS: The addition of a health assessment form with a mammography reminder at the health maintenance visit is an effective and inexpensive method to increase compliance with mammography.

Duke Scholars

Published In

J Fam Pract

ISSN

0094-3509

Publication Date

January 1993

Volume

36

Issue

1

Start / End Page

59 / 64

Location

United States

Related Subject Headings

  • Reminder Systems
  • Patient Compliance
  • North Carolina
  • Middle Aged
  • Medical Records
  • Mammography
  • Male
  • Humans
  • Health Status
  • General & Internal Medicine
 

Citation

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Yarnall, K. S., Michener, J. L., Broadhead, W. E., & Tse, C. K. (1993). Increasing compliance with mammography recommendations: health assessment forms. J Fam Pract, 36(1), 59–64.
Yarnall, K. S., J. L. Michener, W. E. Broadhead, and C. K. Tse. “Increasing compliance with mammography recommendations: health assessment forms.J Fam Pract 36, no. 1 (January 1993): 59–64.
Yarnall KS, Michener JL, Broadhead WE, Tse CK. Increasing compliance with mammography recommendations: health assessment forms. J Fam Pract. 1993 Jan;36(1):59–64.
Yarnall, K. S., et al. “Increasing compliance with mammography recommendations: health assessment forms.J Fam Pract, vol. 36, no. 1, Jan. 1993, pp. 59–64.
Yarnall KS, Michener JL, Broadhead WE, Tse CK. Increasing compliance with mammography recommendations: health assessment forms. J Fam Pract. 1993 Jan;36(1):59–64.

Published In

J Fam Pract

ISSN

0094-3509

Publication Date

January 1993

Volume

36

Issue

1

Start / End Page

59 / 64

Location

United States

Related Subject Headings

  • Reminder Systems
  • Patient Compliance
  • North Carolina
  • Middle Aged
  • Medical Records
  • Mammography
  • Male
  • Humans
  • Health Status
  • General & Internal Medicine