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Titolo:
EVALUATION OF 3 METHODS FOR IMPROVING MAMMOGRAPHY RATES IN A MANAGED CARE PLAN
Autore:
DAVIS NA; NASH E; BAILEY C; LEWIS MJ; RIMER BK; KOPLAN JP;
Indirizzi:
PRUDENTIAL CTR HLTH CARE RES,2859 PACES FERRY RD,SUITE 820 ATLANTA GA30339
Titolo Testata:
American journal of preventive medicine
fascicolo: 4, volume: 13, anno: 1997,
pagine: 298 - 302
SICI:
0749-3797(1997)13:4<298:EO3MFI>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Keywords:
HMO; MAMMOGRAPHY; TELEPHONE; INTERVENTION STUDIES; MANAGED CARE; MODEL, EXPERIMENTAL (MODEL, THEORETICAL);
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
N.A. Davis et al., "EVALUATION OF 3 METHODS FOR IMPROVING MAMMOGRAPHY RATES IN A MANAGED CARE PLAN", American journal of preventive medicine, 13(4), 1997, pp. 298-302

Abstract

Introduction: Mammography has been shown to reduce breast cancer mortality among women 50 and older. Although mammography rates are increasing nationally, this effective screening tool remains underused. This study was conducted among 395 women who were members of a network model health maintenance organization (HMO) in Philadelphia in order to determine which of three methods was most effective in increasing mammography rates: (1) a birthday card reminder only (the standard method); (2) a personalized letter from the medical director and materials promoting mammography; and (3) a multicomponent phone call incorporating areminder, counseling, and scheduling of appointments. An additional goal was to determine whether the interventions were more or less effective depending on a woman's readiness to get a mammogram, as measured by stage of change.Methods: Eligible women were randomized into one ofthree treatment groups described earlier. Mammography rates were calculated on the basis of a claims review and follow-up phone interviews after a period of six months. Results: Women who received the telephone intervention were most likely to obtain a mammogram (28%), followed by the group that received the birthday card only (15%), and those whoreceived the mailed intervention (9%). Conclusions: These results indicate that a multicomponent phone intervention is significantly effective in promoting mammography in managed health care plan members. An analysis by women's stage of change found a difference in the effectiveness of the three interventions among contemplators only. Medical Subject Headings (MeSH): HMO; mammography; telephone; intervention studies; managed care; model, experimental (model, theoretical).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 20:12:53