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The simultaneous analysis of patient, physician and group practice influences on annual mammography performance

Author

Listed:
  • Brown, Roger L.
  • Baumann, Linda J.
  • Helberg, Clay P.
  • Han, Youngshook
  • Fontana, Susan A.
  • Love, Richard R.

Abstract

The current study examined the relationship of several variables at the patient (n = 2780), physician (n = 166), and group practice (n = 45) levels for predicting receipt of annual mammography screening. Patient-level variables included constructs from the Triandis Model of Choice; physician-level variables included measures of barriers and receptiveity to prevention, as well as demographic information. Hierarchical modeling demonstrated that variables at the patient and physician level reliably predict annual mammography screening, while frequency of screening did not vary across group practices after accounting for patient and physician variables. Patient-level predictors included social norms, perceived consequences and perceived barriers. The only physician-level predictor identified was annual mammography recommendation. These findings add to data which emphasize the importance of public education and social support in health maintenance activities.

Suggested Citation

  • Brown, Roger L. & Baumann, Linda J. & Helberg, Clay P. & Han, Youngshook & Fontana, Susan A. & Love, Richard R., 1996. "The simultaneous analysis of patient, physician and group practice influences on annual mammography performance," Social Science & Medicine, Elsevier, vol. 43(3), pages 315-324, August.
    • Handle: RePEc:eee:socmed:v:43:y:1996:i:3:p:315-324
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    Cited by:

    1. Gerald J. Pruckner & Thomas Schober & Katrin Zocher, 2020. "The company you keep: health behavior among work peers," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 251-259, March.
    2. Jonathan O’Hara & Crystal McPhee & Sarity Dodson & Annie Cooper & Carol Wildey & Melanie Hawkins & Alexandra Fulton & Vicki Pridmore & Victoria Cuevas & Mathew Scanlon & Patricia M. Livingston & Richa, 2018. "Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    3. J. S. Blumenthal-Barby & Heather Krieger, 2015. "Cognitive Biases and Heuristics in Medical Decision Making," Medical Decision Making, , vol. 35(4), pages 539-557, May.

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