Frequency and Determinants of Screening for Breast Cancer in Primary Care Group Practice

Love, Richard R.

doi:10.1001/archinte.1993.00410180059006

Arch Intern Med

1993

DOI: 10.1001/archinte.1993.00410180059006

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Frequency and Determinants of Screening for Breast Cancer in Primary Care Group Practice

Richard R. Love¹

Abstract: In this study of self-selected physicians and their patients, record-documented mammographic examinations were considerably more frequent than has been reported in some studies, but occurred at rates consistent with quality assurance data for the region. These data suggest that clinic staff initiatives with screening mammography have a large impact.

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Cited by 21 publications

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Patient-Perceived Barriers to Preventive Health Care Among Indigent, Rural Appalachian Patients

Dk²,

Wt³

1995

Arch Intern Med

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This indigent population expressed a desire for preventive care. Our patients identified cost and lack of knowledge as the major reasons for omitting these health screening measures. Data obtained from health care providers, rather than patients, may fail to disclose the barriers these patients face. Adequate education about disease prevention may be as crucial as sufficient funding in improving compliance with preventive guidelines.

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Patient-Perceived Barriers to Preventive Health Care Among Indigent, Rural Appalachian Patients

Dk²,

Wt³

1995

Arch Intern Med

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Evaluation of factors potentially associated with inadequate follow-up of mammographic abnormalities

McCarthy

Yood

Janz

et al. 1996

Cancer

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Cancer prevention through health promotion: Defining the role of physicians in public health

Love

1994

Cancer

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In recent years a major focus in the delivery of cancer prevention services has been on the actions of physicians in ambulatory care practice. Whereas delivery of these services has increased markedly, it is likely that physician actions overall are not producing expected measurable benefits to whole populations. The level and quality of prevention services will be increased through greater local consensus regarding cancer prevention goals, better organization to provide these services more efficiently, and improved health education in clinics. But the greatest challenge is to increase access for all Americans to these services. Access to health services is not only a medical problem. Social problems of unemployment, poverty, and limited education significantly influence access to services and good health in poorly understood ways. While encouraging direct approaches to addressing social problems in the medical community, the agenda for the future in cancer prevention must be concerned with facilitating a public health community responsibility attitude among physicians and with fostering development of hospital/community/physician partnerships in which community organizations have significant ownership. Overall public health indices in cancer can improve only with greater attention to access and the broad societal issues of preventive medicine.

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Frequency and Determinants of Screening for Breast Cancer in Primary Care Group Practice

Cited by 21 publications

References 21 publications

Patient-Perceived Barriers to Preventive Health Care Among Indigent, Rural Appalachian Patients

Patient-Perceived Barriers to Preventive Health Care Among Indigent, Rural Appalachian Patients

Evaluation of factors potentially associated with inadequate follow-up of mammographic abnormalities

Cancer prevention through health promotion: Defining the role of physicians in public health

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