S. Sheinfeld Gorin|Anne Ashford|Rafael Lantigua|Afzal Hossain|Manisha Desai|Andrea B. Troxel|Donald H. Gemson
Effectiveness of Academic Detailing on Breast Cancer Screening among Primary Care Physicians in an Underserved Community
Harlem Hospital Center|University of Pennsylvania|Columbia University|Columbia University|University of Pennsylvania|Harlem Hospital Center|Columbia University|University of Pennsylvania|Harlem Hospital Center|Columbia University|University of Pennsylvania|Harlem Hospital Center|Columbia University|University of Pennsylvania|Harlem Hospital Center|University of Pennsylvania|Columbia University|Harlem Hospital Center|Columbia University|Harlem Hospital Center|University of Pennsylvania
urban minority groups living northern manhattan south bronx generally underserved regard breast cancer prevention screening practices primary care physicians critical recommendation mammography clinical breast examinations patientstwo medically underserved communities matched block randomized aim study assess efficacy academic detailing increasing recommendations breast cancer screening communitybased primary care physiciansninetyfour primary care communitybased ie hospitalbased physicians northern manhattan compared 74 physicians south bronx received interventionintervention participants received multicomponent physiciandirected education academic detailing using american cancer society guidelines early detection breast cancerwe administered interviews ask primary care physicians recommendation mammography clinical breast examination also queried knowledge major risk factors perceived barriers breast cancer screening conducted medical audits 710 medical charts 2 years interventionusing mixed models linear analysis found statistically significant intervention effect recommendation mammography clinical breast examination according medical audit female patients age 40 intervention group physicians correctly identified significantly risk factors breast cancer significantly fewer barriers practice comparison physicianswe found evidence improvement breast cancer screening practices due academic detailing among primary care physicians practicing urban underserved communities