首页> 外文期刊>Journal of Epidemiology & Community Health >Enthusiasm or uncertainty: small area variations in the use of mammography services in Ontario, Canada
【24h】

Enthusiasm or uncertainty: small area variations in the use of mammography services in Ontario, Canada

机译:热情还是不确定性:加拿大安大略省的乳房X线摄影服务使用地区差异很小

获取原文
获取原文并翻译 | 示例
       

摘要

Study objective—To examine the variation in mammography utilisation in relation to age group and indication across health planning regions in Ontario, Canada. Design—This study includes all women aged 30 and over in Ontario who received a mammogram between July 1, 1990 and December 31, 1991. Data from a sample of 10 000 women aged 50-69 were used to assign mammogram indication as "screening", "possible diagnostic", or "probable diagnostic" based on previous health care utilisation patterns. Age specific rates and age adjusted rates in relation to age group (30-39, 40-49, 50-69, and 70 + years) and region were derived. Main results—Overall, 572 762 women received one or more mammograms. Rates increased from 30 to 54 years and decreased thereafter. Similar variations were seen in the 40-49 and 50-69 age groups. The ranking in the area specific rates remained consistent for all ages except the 30-39 year range. In relation to indication, the largest variation across regions occurred in the screening group. Conclusions—Mammography utilisation varies across age groups. The greatest variability is for screening, probably because of physician referral patterns, patient uptake, and perhaps access to mammography. The extent of variation was similar when compared between groups where recommendations were consistent (ages 50-59) and where they were inconsistent (ages 40-49) suggesting that perhaps enthusiasm rather than uncertainty is related to regional variation for this procedure.
机译:研究目标-研究加拿大安大略省整个健康规划区域的乳房X线照片利用率与年龄组和适应症之间的差异。设计-本研究包括1990年7月1日至1991年12月31日期间在安大略省接受乳房X线检查的所有30岁及以上的女性。从1万名年龄在50-69岁的女性中抽取的数据用于“ X线筛查” ,“可能的诊断”或“可能的诊断”基于以前的卫生保健使用模式。推导了与年龄段(30-39岁,40-49岁,50-69岁和70岁以上)和地区相关的年龄特定率和年龄调整率。主要结果-572 762名妇女接受了一次或多次乳房X线照片。发病率从30岁增加到54岁,此后下降。在40-49岁和50-69岁年龄段中也发现了类似的变化。除30-39岁的年龄段外,所有年龄段的特定区域率排名均保持一致。关于适应症,跨区域的最大变化发生在筛查组中。结论-乳房X线摄影的使用因年龄组而异。最大的变异是筛查,可能是由于医生的转诊方式,患者的摄取情况以及可能接受乳房X线照相。当在建议一致(50-59岁)和不一致(40-49岁)的组之间进行比较时,差异的程度相似,这表明这种程序的区域差异可能与热情而不是不确定性有关。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号