Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study Comparative Study
A cluster-randomized trial of a primary care informatics-based system for breast cancer screening.
Information technology offers the promise, as yet unfulfilled, of delivering efficient, evidence-based health care. ⋯ A novel population-based informatics system functioning as part of a non-visit-based care model increased mammography screening rates in intervention practices.
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Comparative Study
Are physicians' recommendations for colorectal cancer screening guideline-consistent?
Many older adults in the U.S. do not receive appropriate colorectal cancer (CRC) screening. Although primary care physicians' recommendations to their patients are central to the screening process, little information is available about their recommendations in relation to guidelines for the menu of CRC screening modalities, including fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), colonoscopy, and double contrast barium enema (DCBE). The objective of this study was to explore potentially modifiable physician and practice factors associated with guideline-consistent recommendations for the menu of CRC screening modalities. ⋯ Physicians' CRC screening recommendations reflect both overuse and underuse, and few made guideline-consistent CRC screening recommendations across all modalities they recommended. Interventions that focus on potentially modifiable physician and practice factors that influence overuse and underuse and address the menu of recommended screening modalities will be important for improving screening practice.