Journal article
The professional quality criteria of Italian breast screening radiologists: results from a national survey comparing the programmes started in 2000-2012 versus the ones started in 1990-1999.
- Morrone D Istituto per lo Studio e la Prevenzione Oncologica, Florence, Italy.
- Giordano L Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Turin, Italy.
- Artuso F Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Turin, Italy.
- Bernardi D Azienda Provinciale Servizi Sanitari, Trento, Italy.
- Fedato C Coordinamento Regionale Screening Oncologici, Regione Veneto, Venice, Italy.
- Frigerio A Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Turin, Italy.
- Giorgi D Azienda Unità Sanitaria Locale 2, Lucca, Italy.
- Naldoni C Assessorato alle Politiche per la Salute, Regione Emilia-Romagna, Bologna, Italy.
- Saguatti G Azienda Unità Sanitaria Locale di Bologna, Bologna, Italy.
- Severi D Azienda Unità Sanitaria Locale di Forlì, Forlì, Italy.
- Taffurelli M Università degli Studi di Bologna, Bologna, Italy.
- Terribile D Hôpitaux Universitaires de Genève, Geneva, Switzerland.
- Ventura L Istituto per lo Studio e la Prevenzione Oncologica, Florence, Italy.
- Bucchi L Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Forlì, Italy.
- 2017-06-16
Published in:
- Annali dell'Istituto superiore di sanita. - 2017
Breast Neoplasms
Female
Government Programs
Health Care Surveys
Humans
Italy
Mammography
Mass Screening
Quality Indicators, Health Care
Radiologists
English
INTRODUCTION
In Italy, due to increasing healthcare budget and staff shortages, the recently created regional mammography screening programmes were established under worse radiology practice quality criteria than the previously created programmes.
METHODS
Using available data from a national questionnaire survey conducted at the end of 2013 and involving 222 responder radiologists, we compared the main professional quality standards of radiologists working in the screening programmes established during the period 2000-2012 with those working in the screening programmes created from 1990 to 1999.
RESULTS
The former reported more years of clinical experience in breast imaging and a greater clinical mammogram reading volume than the latter. Conversely, they dedicated less working time to breast imaging, were less likely to participate in the diagnostic assessment of screen-detected lesions, to work in large-staffed screening centres, and to have a screening and a total mammogram reading volume (SMRV and TMRV) ≥ 5000 per year.
CONCLUSIONS
The level of most professional quality criteria of Italian mammography screening radiologists has decreased over time. As SMRV and TMRV are important predictors of diagnostic accuracy, we can expect a lower interpretation performance of radiologists working in the recently created screening programmes.
In Italy, due to increasing healthcare budget and staff shortages, the recently created regional mammography screening programmes were established under worse radiology practice quality criteria than the previously created programmes.
METHODS
Using available data from a national questionnaire survey conducted at the end of 2013 and involving 222 responder radiologists, we compared the main professional quality standards of radiologists working in the screening programmes established during the period 2000-2012 with those working in the screening programmes created from 1990 to 1999.
RESULTS
The former reported more years of clinical experience in breast imaging and a greater clinical mammogram reading volume than the latter. Conversely, they dedicated less working time to breast imaging, were less likely to participate in the diagnostic assessment of screen-detected lesions, to work in large-staffed screening centres, and to have a screening and a total mammogram reading volume (SMRV and TMRV) ≥ 5000 per year.
CONCLUSIONS
The level of most professional quality criteria of Italian mammography screening radiologists has decreased over time. As SMRV and TMRV are important predictors of diagnostic accuracy, we can expect a lower interpretation performance of radiologists working in the recently created screening programmes.
- Language
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- English
- Identifiers
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- DOI 10.4415/ANN_17_02_14
- PMID 28617264
- Persistent URL
- https://sonar.ch/global/documents/103572
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