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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Factors associated with continued participation in mammography screening.
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Factors associated with continued participation in mammography screening.

机译：与继续参与乳腺X线摄影筛查有关的因素。

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BACKGROUND: Relatively little is known about factors that predict ongoing participation in mammography screening at regular intervals. Members of managed care plans have access to this preventive service; yet, many still do not receive it routinely. METHODS: Using administrative data from HIP Health Plan of New York, a group model HMO, 24,215 women ages 50-80 years identified as having a screening mammogram during the baseline period were followed for 2 years to determine demographic and utilization factors that might be related to having a subsequent mammogram within the recommended time interval. RESULTS: Of the 24,215 women with an index mammogram, 71.8;pc had a subsequent screening mammogram within 2 years. Women ages 65-74 years and those with Medicare coverage had the highest mammogram rates among the age and coverage categories. Number of primary care and gynecology physician visits was strongly related to having a subsequent mammogram. The average (mean) time between index and subsequent mammogram was 14.4 months. CONCLUSION: The significance of health plan visits in subsequent mammography underscores the importance of physician-patient communication in a managed care plan and the integration of health plan members into the HMO delivery system. Even in this environment with equal access for all types of coverage, Medicaid members were less likely to receive this preventive service.
机译：背景：关于预测定期进行乳腺X线摄影筛查的因素知之甚少。管理式护理计划的成员可以使用此预防服务;但是，许多人仍然没有定期收到它。方法：使用来自纽约HIP健康计划的行政数据，HMO的一组模型，对24,215名年龄在50-80岁的女性进行了基线期间的乳房X线筛查，随访了2年，以确定可能相关的人口统计学和利用率在建议的时间间隔内进行后续乳房X光检查。结果：在24,215名女性乳房X线照片中，有71.8人在2年内进行了乳房X线筛查。 65-74岁的女性以及接受联邦医疗保险的女性在年龄和覆盖类别中的乳房X线照片率最高。初级保健和妇科医师就诊的次数与随后的乳房X线照片密切相关。指标与随后的乳房X线照片之间的平均（平均）时间为14.4个月。结论：在随后的乳腺X线摄影中进行健康计划就诊的重要性强调了医患沟通在管理式治疗计划中的重要性以及将健康计划成员纳入HMO运送系统的重要性。即使在这样的环境中，所有类型的保险都享有平等的访问权，医疗补助成员也不太可能获得这种预防服务。

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