Improving Breast and Cervical Cancer Screening Compliance Through Direct Physician Contact in a Military Treatment Facility: A Non-randomized Pilot Study

Author:

McDermott Alexis K1,McDermott Andrew J2,Osbaldiston Richard3,Lennon Robert P4ORCID

Affiliation:

1. Directorate for Nursing Services, Naval Hospital Rota, 11520 Cádiz, Spain

2. Department of Family Medicine, Naval Hospital Rota, 11520 Cádiz, Spain

3. Department of Psychology, Eastern Kentucky University, Richmond, Kentucky, KY 40475, USA

4. Penn State College of Medicine, Department of Family and Community Medicine, Hershey, PA 17033, USA

Abstract

ABSTRACT Introduction Screening for breast cancer (BC) and cervical cancer (CC) decreases morbidity and mortality. Most interventions to improve screening rely on automated modalities or nonphysician patient contact. There is limited data on direct patient contact by a physician to encourage BC and CC screening. This non-randomized pilot study sought to evaluate the potential of direct physician contact to improve BC and CC screening rates. Materials and Methods A Family Medicine physician telephoned patients on his panel who were due or overdue for BC and CC screening. If the patient did not answer her phone, a voicemail was left; if unable to leave a voicemail, a letter was mailed. The completion rate of recommended screening tests was measured 3 months after contact and compared to a retrospectively identified control population. The change in compliance of the patient panel over 3 months was also calculated. Results Direct physician conversation by telephone yielded higher completion rates for BC and CC screening versus control patients, but only the CC completion rate increase was statistically significant. Direct conversation BC screening completion rate: 41.2% versus 22.7% (P = .22, n = 48). Direct conversation CC screening completion rate: 45% versus 13.9% (P = .01, n = 44). The intervention patient panel compliance with screening recommendations increased 20.5% for BC and 10.5% for CC. Conclusion Direct physician contact may be beneficial to increase compliance for more invasive screening tests.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference16 articles.

1. Impact of a telephone counseling intervention on transitions in stage of change and adherence to interval mammography screening (United States);Carney;Cancer Causes Control,2005

2. Final Update Summary: Breast Cancer: Screening;Force USPST,2019

3. Summary of Recommendations for Clinical Preventive Services;Physicians AAoF,2019

4. Practice Bulletin Number 179: breast cancer risk assessment and screening in average-risk women;Committee on Practice BG;Obstet Gynecol,2017

5. Practice Bulletin No. 168 Summary: cervical cancer screening and prevention;Committee on Practice BG;Obstetric Gynecol (New York 1953),2016

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