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Titolo:
Screening mammographies in Switzerland: what makes female and male physicians prescribe them?
Autore:
Keller, B; Stutz, EZ; Tibblin, M; Ackermann-Liebrich, U; Faisst, K; Probst-Hensch, N;
Indirizzi:
Univ Basel, Inst Social & Prevent Med, CH-4051 Basel, Switzerland Univ Basel Basel Switzerland CH-4051 ent Med, CH-4051 Basel, Switzerland
Titolo Testata:
SWISS MEDICAL WEEKLY
fascicolo: 21-22, volume: 131, anno: 2001,
pagine: 311 - 319
SICI:
1424-7860(20010602)131:21-22<311:SMISWM>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE PHYSICIANS; BREAST-CANCER; WOMEN; GENDER; RATES; MORTALITY;
Keywords:
mammographic screening; physicians; prescription; attitude;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Probst-Hensch, N Univ Basel, Inst Social & Prevent Med, Steinengraben 49, CH-4051 Basel, Switzerland Univ Basel Steinengraben 49 Basel Switzerland CH-4051 nd
Citazione:
B. Keller et al., "Screening mammographies in Switzerland: what makes female and male physicians prescribe them?", SWISS MED W, 131(21-22), 2001, pp. 311-319

Abstract

Question understudy: Physicians play a key role in motivating women to undergo mammography screening. In 1998 we assessed Swiss physicians' attitudesto mammography screening and their prescription behaviour in this regard. Methods: All female physicians and every second male physician aged 50-69 who were either not board-certified or board-certified in general practice,internal medicine, or obstetrics/gynaecology were sent a questionnaire. The response rate was 50% and thus 738 questionnaires were included in this study. Of the study population 39% were female and 6t% male physicians. The distribution of professional backgrounds was: 27% board-certified general practitioners; 23% board-certified internists; 11% board-certified gynaecologists; 39% not board-certified. Results: 55% of all study participants were in favour of a mammography screening programme for women aged over 50 in Switzerland, but breast self-examination and clinical breast examination were judged to have a more positive impact on breast cancer survival. Among clinically practising physicians,22% reported generally prescribing biannual screening mammographics for women aged 50-69. Irrespective of other determinants, physicians from the Italian- and French-speaking parts of Switzerland prescribed screening mammographies more often than their colleagues from the German-speaking part (oddsratio [OR] 2.5; 95% confidence interval [CI] 1.5-4.2). Clinical practice in obstetrics/gynaecolopy, (OR 2.4; CI 1.3-4.2) and a self-reported high level of knowledge concerning mammography screening (OR 1.9; CI 1.1-3.2) were also positively associated with the prescription of screening mammography. Conclusions: Since mammography screening programmes exist in only three French-speaking cantons of Switzerland (VS; VD; GE), the gap in prescription of screening mammographies between French/Italian- and German-speaking regions must be narrowed to prevent a higher prevalence of side effects front opportunistic screening among German-speaking women. There isa need to educate physicians and the political community regarding the risks and benefits of mammography screening.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 06:43:30