Radiologists' Attitudes and Use of Mammography Audit Reports

作者: Joann G. Elmore , Erin J. Aiello Bowles , Berta Geller , Natalia Vukshich Oster , Patricia A. Carney

DOI: 10.1016/J.ACRA.2010.02.010

关键词: Breast cancerAuditClinical auditCohortBreast Cancer Surveillance ConsortiumMammographyFamily medicineMammography Quality Standards ActLatent class modelMedicine

摘要: Rationale and Objectives The US Mammography Quality Standards Act mandates medical audits to track breast cancer outcomes data associated with interpretive performance. objectives of our study were assess the content style examine use of, attitudes toward, perceptions value that radiologists' have regarding mandated audits. Materials Methods Radiologists ( n = 364) at mammography registries in seven states contributing Breast Cancer Surveillance Consortium (BCSC) invited participate. We examined demographic characteristics, clinical experience, use, attitudes, perceived audit reports from results a self-administered survey. Information on BCSC provided radiologists facilities was obtained site investigators. Radiologists' characteristics analyzed according whether or not they self-reported receiving regular reports. Latent class analysis used classify individual into overall probabilities having “favorable,” “less favorable,” “neutral,” “unfavorable” toward Results Seventy-one percent (257 completed survey; two did complete survey question, leaving 255 for final cohort. Most respondents received (91%), paid close attention their numbers (83%), found valuable (87%), felt prompted them improve interpretative performance (75%). Variability noted style, target audience, frequency by registries. One four reported if Congress more intensive auditing requirements, but does provide funding support this regulation may stop interpreting mammograms. Conclusion working imaging generally had favorable opinions reports, which Congress; however, almost 1 10 receive

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