کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4281439 1611588 2007 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Positive impact of a breast-health triaging system on breast-care access and physician satisfaction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Positive impact of a breast-health triaging system on breast-care access and physician satisfaction
چکیده انگلیسی

ObjectiveMinority patients are at risk for delayed breast cancer treatment. Using nonsurgical breast specialists could improve access but requires appropriate referral to ensure prompt cancer care. Our objective was to evaluate a referral triage system in a combined medical/surgical breast health program (BHP).MethodsA triage system based on imaging findings, examination, and patient age was instituted. An advanced practice nurse managed referrals and a prospective database. Referring providers were surveyed after 2 years.ResultsFrom 2003 to 2006, 4,840 referrals were made to surgeons (57%) and nonsurgeons (43%). Breast cancers were found in 8.5% of patients. Referral error occurred in 4 cancer patients (.1%). BHP-referred patients had significantly shorter times to surgical appointment (10 days) than non-BHP referrals (45 days). A referring provider survey indicated 96% satisfaction.ConclusionsA breast-care triage system expedited cancer care resulting in physician satisfaction and increased referrals.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 194, Issue 4, October 2007, Pages 482–487
نویسندگان
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