Primary care physicians' assessments of older patients' health and psychological status and recommendation of mammography

Journal of the American Board of Family Medicine : JABFM
Marsha N Wittink, Hillary R Bogner

Abstract

Recommendation of mammography may be particularly important for older women; nevertheless, physicians are less likely to recommend mammography to older women. Our objective was to examine the characteristics of older patients for whom primary care physicians recommend mammography. Two hundred sixteen women aged 65 to 80 years were screened for depressive symptoms in primary care offices and invited to participate. They then completed a baseline in-home assessment between 2001 and 2003. At the time of the baseline in-home assessment, mammogram use and psychological status were assessed with commonly used and validated standard questionnaires. At the time of the index visit, physicians were asked to provide assessments of the patients. Patient-reported physician recommendation of mammography was more likely among patients the physicians rated as anxious than among patients the physicians rated as not being anxious (unadjusted odds ratio, 2.08; 95% confidence interval, 1.10-3.94). In multivariate models that controlled for physician ratings of knowledge of the patient, the association between physician rating of anxiety with patient-reported physician recommendation of mammography remained significant. Patient-reported physician r...Continue Reading

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Citations

May 29, 2012·Archives of Psychiatric Nursing·Brenda HappellChris Platania-Phung
Jun 6, 2009·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Christine DimitrakakiYannis Tountas
Dec 15, 2015·CA: a Cancer Journal for Clinicians·Lara C WeinsteinRichard C Wender

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