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Dissertation
Improving mammogram adherence in a primary care clinic
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Mammograms are essential in detecting breast cancer to optimize chances of survival. However, in primary care settings, 1/3 of patients are not willing to get their mammograms done. Purpose: The purpose of this evidence-based project is to improve mammogram adherence in women for earlier identification of breast cancer. The project also identifies common barriers that women face in a primary care setting to address potential interventions that could be further implemented. Methods: The population included women ages 50-74 who were due for mammogram screening. The interventions of reminder cards and phone calls were implemented according to the provider’s suggestion. Adherence rates were collected before, during, and after implementation. Patients were also asked a survey at routine appointments to find out what their top barrier to getting their mammogram done was. Findings: From September 2022-May 2023, the mammogram adherence rate of the provider was on average 68%. Implementation began in June 2023. The mammogram adherence rate for June was 68.24%. By the end of implementation in November 2023, the adherence rate was 72.76%. Seven patients were surveyed asking what their top barrier to getting their mammogram done was. Of the seven patients, four patients (57%) stated that inconvenience was their top barrier. Other barriers listed were not wanting to get the mammogram done and forgetfulness. Discussion: Reminder calls and cards improved mammogram adherence in a primary care setting. The top barrier interfering with the mammogram was identified as an inconvenience. More interventions such as self-scheduling, hiring a case manager, having walk-in hours, and creating a staff incentive would be beneficial to further improve mammogram adherence.
Details
- Title: Subtitle
- Improving mammogram adherence in a primary care clinic
- Creators
- Natalie Marie Zimmerman - University of Iowa
- Contributors
- Ann Weltin (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Natalie Marie Zimmerman
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627351002771
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