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How do Breast Imaging Centers Communicate Results to Women with Limited English Proficiency and Other Barriers to Care?
MedLine Citation:
PMID:  23324987     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Research suggests that women with Limited English Proficiency (LEP) and ethnic minority women are at increased risk of being inadequately informed of their mammogram result. The purpose of this study is to explore breast imaging centers' communication practices and assess how these centers accommodate women with low literacy and LEP. A 35-question survey was distributed to a national association of more than 700 breast health centers. Descriptive analysis of the overall sample and Fisher's exact or Chi squared testing to distinguish differences between subgroups were performed. Respondents from 206 centers completed questionnaires. 29 % of respondents stated that more than a quarter of their patients were black, 27 % of respondents stated that more than a quarter of their patients were Hispanic/Latina, and 13 % of respondents stated that more than a quarter of their patients had LEP. Overall, 18 % of respondents reported they do not routinely telephone patients with results, 15 % do not have multilingual staff or translators available to answer questions, and 69 % send result letters in English only. Of note, 69 % use patient navigators. Centers reported systemic strengths and barriers to clear communication of mammography results. Our findings are consistent with past investigations identifying a general need to improve the communication of breast imaging results and suggesting that result notification letters alone are inadequate in ensuring that every woman understands her personal results and follow-up plan.
Authors:
Erin N Marcus; Tulay Koru-Sengul; Feng Miao; Monica Yepes; Lee Sanders
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-17
Journal Detail:
Title:  Journal of immigrant and minority health / Center for Minority Public Health     Volume:  -     ISSN:  1557-1920     ISO Abbreviation:  J Immigr Minor Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256527     Medline TA:  J Immigr Minor Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of General Internal Medicine and Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, 1611 NW 12th Ave., Suite 356, Miami, FL, 33101, USA, emarcus@med.miami.edu.
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