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 cancer 、 Audit 、 Clinical audit 、 Cohort 、 Breast Cancer Surveillance Consortium 、 Mammography 、 Family medicine 、 Mammography Quality Standards Act 、 Latent class model 、 Medicine
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