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American Journal of Public Health logoLink to American Journal of Public Health
. 1990 Jan;80(1):85–87. doi: 10.2105/ajph.80.1.85

Results of an intervention to improve compliance with referrals for evaluation of suspected malignancies at neighborhood public health centers.

C Manfredi 1, L Lacey 1, R Warnecke 1
PMCID: PMC1404552  PMID: 2293812

Abstract

A study was conducted at Neighborhood Health Centers to evaluate procedures to improve compliance with referrals of patient at risk for cancer. Intervention consisted of a standardized communication from the exit nurse, a patient form to be returned after compliance, and one written and one telephone reminder as needed. Compliance was 68.2 percent in a control group and 89.0 percent among patients who received the experimental intervention, a significant increase of 20.8 percent (95% CI: 12.5, 29.1).

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anwar R. A., Roberts J. R., Wagner D. K. The continuing emergency care clinic: improving patient compliance with follow-up care. JACEP. 1977 Jun;6(6):251–253. doi: 10.1016/s0361-1124(77)80463-2. [DOI] [PubMed] [Google Scholar]
  2. Barron W. M. Failed appointments. Who misses them, why they are missed, and what can be done. Prim Care. 1980 Dec;7(4):563–574. [PubMed] [Google Scholar]
  3. Barry S. P., Daniels A. A. Effecting change in outpatient failed appointments. J Fam Pract. 1984 May;18(5):739–742. [PubMed] [Google Scholar]
  4. Burack R. C., Liang J. The early detection of cancer in the primary-care setting: factors associated with the acceptance and completion of recommended procedures. Prev Med. 1987 Nov;16(6):739–751. doi: 10.1016/0091-7435(87)90014-4. [DOI] [PubMed] [Google Scholar]
  5. Greenwald H. P., Becker S. W., Nevitt M. C. Delay and noncompliance in cancer detection: a behavioral perspective for health planners. Milbank Mem Fund Q Health Soc. 1978 Spring;56(2):212–230. [PubMed] [Google Scholar]
  6. Grover S., Gagnon G., Flegel K. M., Hoey J. R. Improving appointment-keeping by patients new to a hospital medical clinic with telephone or mailed reminders. Can Med Assoc J. 1983 Nov 15;129(10):1101–1103. [PMC free article] [PubMed] [Google Scholar]
  7. Lane D. S. Compliance with referrals from a cancer-screening project. J Fam Pract. 1983 Nov;17(5):811–817. [PubMed] [Google Scholar]
  8. Lane D. S., Fine H. L. Compliance with mammography referrals. Implications for breast cancer screening. N Y State J Med. 1983 Feb;83(2):173–176. [PubMed] [Google Scholar]
  9. Makuc D. M., Freid V. M., Kleinman J. C. National trends in the use of preventive health care by women. Am J Public Health. 1989 Jan;79(1):21–26. doi: 10.2105/ajph.79.1.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Matthews D., Hingson R. Improving patient compliance: a guide for physicians. Med Clin North Am. 1977 Jul;61(4):879–889. doi: 10.1016/s0025-7125(16)31304-9. [DOI] [PubMed] [Google Scholar]
  11. Nichols S., Waters W. E., Fraser J. D., Wheeller M. J., Ingham S. K. Delay in the presentation of breast symptoms for consultant investigation. Community Med. 1981 Aug;3(3):217–225. doi: 10.1007/BF02549119. [DOI] [PubMed] [Google Scholar]
  12. Ross C. E., Duff R. S. Returning to the doctor: the effect of client characteristics, type of practice, and experiences with care. J Health Soc Behav. 1982 Jun;23(2):119–131. [PubMed] [Google Scholar]
  13. Shepard D. S., Moseley T. A., 3rd Mailed versus telephoned appointment reminders to reduce broken appointments in a hospital outpatient department. Med Care. 1976 Mar;14(3):268–273. doi: 10.1097/00005650-197603000-00008. [DOI] [PubMed] [Google Scholar]

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