Patient Utilization of Weekend and Evening Appointments for Screening Mammography: An 8-Year Observational Cohort Study

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2024-10-01 DOI:10.1016/j.jacr.2024.04.029

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引用次数: 0

Abstract

Objective

To characterize the patient population using weekend and evening appointments for screening mammography versus standard appointment times across four outpatient facilities in our academic health system.

Methods

In this institutional review board–approved retrospective cohort study, there were 203,101 screening mammograms from 67,323 patients who had a screening mammogram performed at outpatient centers at a multisite academic institution from January 1, 2015, to December 31, 2022. Screening appointments were defined as “standard appointment time” (between 8 am and 5 pm on Monday through Friday) or “weekend or evening appointment time” (scheduled after 5 pm on Monday through Friday or at any time on a Saturday or Sunday). Associations between appointment group and patient characteristics were analyzed using univariate and multivariate logistic regression.

Results

Most screening mammograms (n = 185,436, 91.3%) were performed at standard times. The remainder (n = 17,665, 8.7%) were performed during weekends or evenings. As we created additional weekend and evening appointments after the coronavirus disease 2019 pandemic, the annual percentage of all screening mammograms performed on evenings and weekends increased. On multivariate analysis, when compared with standard appointment times, we found that patients who were younger than age 50 (P < .001), a race other than non-Hispanic White (P < .001), non-English speakers (P < .001), and from less advantaged zip codes (P < .03) were more likely to use weekend and evening appointment times compared with those aged 70 and above, non-Hispanic White patients, English speakers, and those from the most advantaged zip codes.

Conclusions

Weekend and evening appointment availability for screening mammograms might improve screening access for all patients, particularly for those younger than age 50, those of races other than non-Hispanic White, and those from less advantaged zip codes.

查看原文本刊更多论文

患者利用周末/夜间预约进行乳腺放射摄影筛查的情况：一项为期 8 年的观察队列研究

方法在这项经机构审查委员会批准的回顾性队列研究中，从 2015 年 1 月 1 日到 2022 年 12 月 31 日，在一家多地点学术机构的门诊中心进行乳腺 X 光筛查的 67323 名患者共进行了 203101 次乳腺 X 光筛查。筛查预约被定义为 "标准预约时间"（周一至周五上午 8 点到下午 5 点之间）或 "周末或晚间预约时间"（周一至周五下午 5 点之后或周六或周日的任何时间）。采用单变量和多变量逻辑回归分析了预约组别与患者特征之间的关联。结果大多数乳腺 X 光筛查（n = 185,436, 91.3%）都是在标准时间进行的。其余（17,665 人，占 8.7%）在周末或晚上进行。在 2019 年冠状病毒疾病大流行后，我们增加了周末和晚上的预约时间，因此每年在晚上和周末进行的所有乳腺 X 光检查的比例也有所增加。通过多变量分析，与标准预约时间相比，我们发现年龄小于 50 岁（P < .001）、非西班牙裔白人以外的种族（P < .001）、不讲英语（P < .001）以及来自条件较差的邮政编码（P < .03）与 70 岁及以上的患者、非西班牙裔白人患者、会讲英语的患者以及来自条件最优越的邮政编码的患者相比，更有可能使用周末和晚上的预约时间。结论周末和晚上的乳房 X 光筛查预约时间可能会改善所有患者接受筛查的机会，尤其是 50 岁以下的患者、非西班牙裔白人以外种族的患者以及来自条件较差的邮政编码的患者。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.