Affordable Access

Compliance with mammography screening in Israeli women: the impact of a pre-scheduled appointment and of the letter-style.

Authors
Type
Published Article
Journal
Israel journal of medical sciences
Publication Date
Volume
33
Issue
2
Pages
103–111
Identifiers
PMID: 9254871
Source
Medline
License
Unknown

Abstract

The objectives of this study were to determine the impact of different personal invitations on screening mammography attendance and to clarify the influence of personal characteristics and health-related attitudes and behaviors on compliance. One thousand and five hundred women, aged 50-74 years, were randomly selected in the city of Haifa. Four letters of invitation were used. Actual mammography performance was validated by a national computerized database. All other data was collected via a telephone interview following the mammography. The overall compliance rate amounted to 45%. The major predictors of compliance were having had a clinical breast examination within the previous year (p = 0.0008), having a health professional recommend routine mammography (p = 0.01) and perceiving mammography as efficient in early detection of breast cancer (p = 0.02). Aggressiveness of message details, or a family physician's or higher authority's signature on the letter had no impact on compliance. A letter of invitation for a routine mammogram at a specific time resulted in an overall rate of compliance 3-fold higher than the baseline. Based on the results of this study. Kupat Holim Clalit decided to implement use of personal invitations for screening mammography to israeli women on a regular basis.

Statistics

Seen <100 times