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DOI: 10.1177/0272989X04267011 Women’s Preferences for Doctor’s Involvement in Decisions about Mammography ScreeningUniversity of Alabama at Birmingham, School of Public Health, 1530 3rd Avenue S., RPHB 217H, Birmingham AL 35294-0022; echamot{at}ms.soph.uab.edu
The Institute of Social and Preventive Medicine, University of Geneva, Switzerland; Quality of Care Unit, Geneva University Hospitals, Switzerland Objectives. To assess women’s preferences for doctor’s involvement in mammography screening decisions. Methods. Mail survey of 50-to 69-year-old women residing in Geneva, Switzerland (N = 2216).Results. Women considered that the decision to undergo mammography screening should be made by thedoctor alone (5.6%), doctor primarily (42.6%),shared equally between woman and doctor (45.0%),woman primarily (4.2%), andwoman alone (2.4%). These subgroups differed considerably. Compared to women in theshared equally group,doctor alone respondents were more likely to be older, to be born outside Switzerland, and to wish to know as late as possible about having cancer. In contrast, woman alone respondents were more likely to report no previous mammogram, to expect bad news frommammograms, and to feel nervous about screening. Conclusions. Most women wished to see their doctor involved in the decision to undergo a screening mammogram. Nevertheless, notable minorities held other opinions.
Key Words: mammography • decision making • physician’s role
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