RetroSearch Browse

Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/29373212/ below:

Associations of County-level Radiologist and Mammography Facility Supply with Screening Mammography Rates in the United States

. 2018 Jul;25(7):883-888. doi: 10.1016/j.acra.2017.11.023. Epub 2018 Jan 17. Associations of County-level Radiologist and Mammography Facility Supply with Screening Mammography Rates in the United States

Affiliations

¹ Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, 660 First Ave, 3rd Floor, NYU Langone Medical Center, New York, NY 10016. Electronic address: Andrew.Rosenkrantz@nyumc.org.
² Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, 660 First Ave, 3rd Floor, NYU Langone Medical Center, New York, NY 10016.
³ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.

PMID: 29373212
DOI: 10.1016/j.acra.2017.11.023

Item in Clipboard

Associations of County-level Radiologist and Mammography Facility Supply with Screening Mammography Rates in the United States

Andrew B Rosenkrantz et al. Acad Radiol. 2018 Jul.

. 2018 Jul;25(7):883-888. doi: 10.1016/j.acra.2017.11.023. Epub 2018 Jan 17. Affiliations

¹ Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, 660 First Ave, 3rd Floor, NYU Langone Medical Center, New York, NY 10016. Electronic address: Andrew.Rosenkrantz@nyumc.org.
² Department of Radiology, Center for Biomedical Imaging, NYU School of Medicine, 660 First Ave, 3rd Floor, NYU Langone Medical Center, New York, NY 10016.
³ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.

PMID: 29373212
DOI: 10.1016/j.acra.2017.11.023

Item in Clipboard

Abstract

Rationale and objectives: The present study aims to assess associations of Medicare beneficiary screening mammography rates with local mammography facility and radiologist availability.

Materials and methods: Mammography screening rates for Medicare fee-for-service beneficiaries were obtained for US counties using the County Health Rankings data set. County-level certified mammography facility counts were obtained from the United States Food and Drug Administration. County-level mammogram-interpreting radiologist and breast imaging subspecialist counts were determined using Centers for Medicare & Medicaid Services fee-for-service claims files. Spearman correlations and multivariable linear regressions were performed using counties' facility and radiologist counts, as well as counts normalized to counties' Medicare fee-for-service beneficiary volume and land area.

Results: Across 3035 included counties, average screening mammography rates were 60.5% ± 8.2% (range 26%-88%). Correlations between county-level screening rates and total mammography facilities, facilities per 100,000 square mile county area, total mammography-interpreting radiologists, and mammography-interpreting radiologists per 100,000 county-level Medicare beneficiaries were all weak (r = 0.22-0.26). Correlations between county-level screening rates and mammography rates per 100,000 Medicare beneficiaries, total breast imaging subspecialist radiologists, and breast imaging subspecialist radiologists per 100,000 Medicare beneficiaries were all minimal (r = 0.06-0.16). Multivariable analyses overall demonstrated radiologist supply to have a stronger independent effect than facility supply, although effect sizes remained weak for both.

Conclusion: Mammography facility and radiologist supply-side factors are only weakly associated with county-level Medicare beneficiary screening mammography rates, and as such, screening mammography may differ from many other health-care services. Although efforts to enhance facility and radiologist supply may be helpful, initiatives to improve screening mammography rates should focus more on demand-side factors, such as patient education and primary care physician education and access.

Keywords: Medicare; Screening mammography; geographic variation; health policy; physician supply.

PubMed Disclaimer