The effect of patient and provider reminders on mammography and Papanicolaou smear screening in a large health maintenance organization.
We evaluated the effectiveness of 2 reminder interventions to increase the use of screening mammograms and Papanicolaou (Pap) smears among female members of a large health maintenance organization.
Seven thousand seventy-seven female health maintenance organization members (aged 50-74 years with no prior mammogram in the previous 30 months or aged 20-64 years with no prior Pap smear in the previous 36 months) were randomized to receive one of the following :
a letter inviting them to make an appointment for a mammogram or a Pap smear ;
in addition to the letter, a reminder manually placed in the patient's medical chart alerting providers of that member's need for screening ;
or their usual care.
Compared with women who did not receive the reminder letter, women who did receive the letter were more likely to obtain mammograms (16.0% vs 25. 5%, respectively ; P<. 001) or Pap smears (9.1% vs 19.5%, respectively ; P<. 001) in the 6 months following their entry into the study.
Compared with women who received only the reminder letter, women who received a reminder letter and had a reminder placed in their medical chart were more likely to obtain mammograms (26.5% vs 30.9%, respectively ; P=02) and marginally more likely to receive Pap smears (19.5% vs 22.8%, respectively ; P=04).
We recommend the use of patient reminder letters as a first step in a mammography or Pap smear screening outreach program. (...)
Mots-clés Pascal : Glande mammaire, Epidémiologie, Campagne de masse, Mammographie, Test Papanicolaou, Recommandation, Evaluation, Rappel, Femelle, Homme, Glande mammaire pathologie, Organisation santé, Radiodiagnostic
Mots-clés Pascal anglais : Mammary gland, Epidemiology, Mass campaign, Mammography, Papanicolaou smear test, Recommendation, Evaluation, Recall, Female, Human, Mammary gland diseases, Public health organization, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0429060
Code Inist : 002B20E01. Création : 19/12/1997.