Costs of achieving high patient compliance after recall from screening mammography.

Costs of achieving high patient compliance after recall from screening mammography. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Costs of achieving high patient compliance after recall from screening mammography. Abstract Text:

Caroline E Blane,Renee W Pinsky,Annette I Joe,April E Pichan,Mirela R Blajan,Mark A Helvie,

OBJECTIVE: The purpose of our study was to document the hidden costs in achieving high recall patient compliance from an off-site screening mammography program. MATERIALS AND METHODS: This study was approved by our institutional review board. At our institution, no patient was placed in final BI-RADS assessment category 3, 4, or 5 without a diagnostic study. Each incomplete study, in addition to the formal report, was flagged on the day sheet, letters were sent to the referring physician and patient, and an incomplete computer code was added. Working from the day sheets, a clerk contacted the patient by telephone within 2 working days to schedule the diagnostic study. Diagnostic slots were purposely left open to accommodate these cases. An ongoing computer tickler file of incomplete codes provided a further check. A time study of clerical performance with recalled patients was measured prospectively for 100 consecutive cases. RESULTS: For the years 2002-2004, 4,025 (13%) of 30,286 screening patients were recalled for diagnostic mammography. After an average of 2.2 telephone calls per patient, (3.64 minutes of clerical time), 3,977 of 4,005 patients returned for a diagnostic study. Forty-eight of 4,025 initially noncompliant patients received an average of six telephone calls (4.7 minutes) and a registered letter. One of the 28 initially noncompliant patients went on to biopsy that revealed a breast cancer. Patient compliance was 4,005 (99.5%) of 4,025. The additional cost for this program was $4,724 divided by 30,286 screening patients, or 16 cents per screening patient. CONCLUSION: The radiology department assumed responsibility for contacting patients who needed recall for additional diagnostic imaging. Using strict documentation of the incomplete breast imaging evaluations, computer checks, clerical support, and prompt scheduling, we achieved 99.5% compliance. The additional cost was small, 16 cents per screening patient.

Costs of achieving high patient compliance after recall from screening mammography. Publishing Authors By Initials

CE Blane,RW Pinsky,AI Joe,AE Pichan,MR Blajan,MA Helvie,

For similar behavior and behavior mechanisms: behavior: health behavior: patient compliance research abstracts see: behavior and behavior mechanisms: behavior: health behavior: patient compliance research

PUBMED ID PMID:

MEDLINE DATE:

Costs of achieving high patient compliance after recall from screening mammography. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 188

Page Numbers: 894-6

Journal Abbreviation:

ISSN: 1546-3141

DAY: 15

MONTH: Apr

YEAR: 2007

Costs of achieving high patient compliance after recall from screening mammography. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7708173

Costs of achieving high patient compliance after recall from screening mammography. Keywords Mesh Terms:

KEYWORDS: Patient Compliance

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Costs of achieving high patient compliance after recall from screening mammography. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Costs of achieving high patient compliance after recall from screening mammography.

AFFILIATION: Department of Radiology, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA. cblane@umich.edu

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: AJR Am J Roentgenol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Costs of achieving high patient compliance after recall from screening mammography Related Publications

• A proposed theory for nursing in community health. Part I: The individual.
• A proposed theory for nursing in community health. Part II: The family.
• Breast cancer in women 65-74 years old: earlier detection by mammographic screening.
• Breast carcinoma in young women previously treated for Hodgkin disease.
• Complicated breast cysts on sonography is aspiration necessary to exclude malignancy?
• Costs of achieving high patient compliance after recall from screening mammography.
• Mammographic appearance of cancer in the opposite breast: comparison with the first cancer.
• Mammographic screening in women more than 64 years old: a comparison of 1- and 2-year intervals.
• Recommendations for mammographic screening of elderly women.
• Recurrent cancer after breast-conserving surgery with radiation therapy for ductal carcinoma in situ: mammographic features, method of detection, and stage of recurrence.
• Ruptured gel-filled silicone breast implants: sonographic findings in 19 cases.
• Sonographically-guided Metallic Marker Placement at Time of Wire Localization for Intraductal or Cystic Lesions A Method to Verify Lesion Retrieval.