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Article
Do physicians do as they say? The case of mammography
Meyers Primary Care Institute Publications and Presentations
  • Barry G. Saver, University of Massachusetts Medical School
  • Thomas R. Taylor, University of Washington
  • Jonathan R. Treadwell, University of Washington
  • William G. Cole, University of Washington
UMMS Affiliation
Meyers Primary Care Institute; Department of Family Medicine and Community Health
Date
11-1-1997
Document Type
Article
Medical Subject Headings
Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Female; Humans; Male; Mammography; Medical Records; Middle Aged; Physician's Practice Patterns; Predictive Value of Tests; Prescriptions; Regression Analysis
Abstract

OBJECTIVE: To assess the utility of survey-based physician policy in predicting actual mammography ordering behavior, as measured by medical record abstraction.

DESIGN: Cross-sectional survey of practicing community physicians. Responses were correlated with data abstracted from the medical records of patients in the practices of the participating physicians.

PARTICIPANTS: Family and general practitioners in Washington State. Medical records of female patients aged 40 to 80 years provided data on actual mammography performance.

MAIN OUTCOME MEASURES: The proportions of female patients aged 40 to 49 and 50 to 80 years who had received a screening mammogram within the previous 2 years.

RESULTS: Of the more than 100 potential predictors available, only 4 were significantly associated with screening rates for women younger than 50 years and only 3 were associated with screening rates for older women. Regression models explained only 21% to 25% of the variance in screening rates. Physician estimates of screening rates were poorly correlated with actual screening rates.

CONCLUSIONS: Practicing physicians do not know how well they screen their patients using mammography. Extensive survey data, including direct estimates of behavior, demographics, policy measures, and case scenario responses, were of limited use in predicting actual screening rates. Our results underscore the importance of using data rather than proxy measures to study physician performance.

Comments

Citation: Arch Fam Med. 1997 Nov-Dec;6(6):543-8.

At the time of publication, Barry Saver was not yet affiliated with the University of Massachusetts Medical School.

The AFM content is copyright American Medical Association (AMA) and licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License according to http://www.clockss.org/clockss/Archives_of_Family_Medicine.

Related Resources
Link to Article in PubMed
PubMed ID
9371047
Citation Information
Barry G. Saver, Thomas R. Taylor, Jonathan R. Treadwell and William G. Cole. "Do physicians do as they say? The case of mammography" Vol. 6 Iss. 6 (1997) ISSN: 1063-3987 (Linking)
Available at: http://works.bepress.com/barry_saver/38/