Feasibility of patient navigation in resident primary care practice: a screening mammography quality improvement initiative.

J Ambul Care Manage

Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts (Dr Shroff); Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts (Mss McCoy and Bak and Drs Sherman and Battaglia); and Section of General Internal Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Dr Mandyam).

Published: August 2016

AI Article Synopsis

  • Patient navigation (PN) was evaluated in resident clinics to see if it could boost biennial screening mammography rates for breast cancer.
  • The study found that PN improved adherence to screening mammograms, even though residents faced challenges in contacting patients.
  • Residents expressed a positive attitude towards incorporating PN into their practices, indicating its potential value in serving vulnerable populations.

Article Abstract

Patient navigation (PN) has been used to improve breast cancer outcomes but has not been evaluated in resident practices. The objective of this study was to evaluate the feasibility of PN in resident clinics to improve biennial screening mammography. All participants whose last screening mammogram was at 18 months or after received PN. Feasibility outcomes included practicality (ability to carry out intervention), effectiveness (ability of intervention to increase biennial screening mammography rates), and acceptability (resident satisfaction with PN). Despite difficulty contacting patients, we found PN improved screening mammography adherence in resident practices serving vulnerable populations. Adherence rates increased significantly postintervention. Residents reported interest in using PN in practice.

Download full-text PDF

Source
http://dx.doi.org/10.1097/JAC.0000000000000022DOI Listing

Publication Analysis

Top Keywords

screening mammography
16
patient navigation
8
resident practices
8
biennial screening
8
resident
5
screening
5
feasibility patient
4
navigation resident
4
resident primary
4
primary care
4

Similar Publications

Giant triple negative pregnancy-associated breast cancer (PABC) in a young woman: From diagnosis to therapy step by step: A case report.

Radiol Case Rep

March 2025

Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology, Diagnostic Imaging Area, Italy.

Pregnancy-associated breast cancer (PABC) presents unique challenges. This type of breast cancer is often more aggressive than that diagnosed in nonpregnant women, and its diagnosis is frequently delayed. Several factors contribute to this delay, including the physiological changes that occur during pregnancy, such as breast enlargement, breast tenderness and increased tissue density, which can mask early signs of malignancy.

View Article and Find Full Text PDF

Breast arterial calcification (BAC) is a common benign finding on a screening mammogram. Additionally, BAC is a type of medial calcification known as Mönckeberg medial calcific sclerosis, which differs from the intimal calcification seen in patients with coronary artery disease (CAD). Recently, BAC has appeared as a new cardiovascular risk stratification method.

View Article and Find Full Text PDF

Background The incidence of margin re-excision following breast conserving surgery (BCS) is a quality measure in the National Health Service. The threshold is less than 20% of all BCS procedures. Despite three decades of studies and a wealth of literature identifying multiple factors associated with increased risk for margin involvement, an accepted threshold rate affecting one in five procedures remains high.

View Article and Find Full Text PDF

Background: Breast cancer screening (BCS) inequities are evident at national and local levels, and many health systems want to address these inequities, but may lack data about contributing factors. The objective of this study was to inform health system interventions through an exploratory analysis of potential multilevel contributors to BCS inequities using health system data.

Methods: The authors conducted a cross-sectional analysis within a large academic health system including 19,774 individuals who identified as Black (n = 1445) or White (n = 18,329) race and were eligible for BCS.

View Article and Find Full Text PDF

[Analysis of Factors That Promote Awareness of Breast MRI Surveillance for Carriers of Hereditary Breast Cancer Risk Genes ( BRCA1/2)].

Nihon Hoshasen Gijutsu Gakkai Zasshi

January 2025

Department of Risk Analysis and Biodosimetry, Institute of Radiation Emergency Medicine, Hirosaki University.

Purpose: Hereditary breast and ovarian cancers (HBOC) carry a high risk of breast cancer, and detailed screening with contrast-enhanced breast MRI (breast MRI surveillance) is recommended. With the increase in the number of individuals diagnosed with HBOC, the demand for breast MRI surveillance is also rising. However, the current system is inadequate, with factors such as lack of knowledge and indifference among healthcare professionals, and insufficient understanding of breast MRI surveillance being cited.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!