Breast cancer screening practices of safety net clinics: Results of a needs assessment study

Palmer, R. C.; Samson, Raquel; Batra, Anamica; Triantis, Maria; Mullan, Irene D

doi:10.1186/1472-6874-11-9

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…This CME was part of a multi-component program aimed at identifying how community-based health centers (Montgomery Cares) located in Montgomery County, Maryland coordinate care regarding breast health and mammography. Data obtained by medical record abstraction from a needs assessment conducted in Montgomery Cares community health centers revealed that mammography screening rates were low (12%) and that healthcare providers did not regularly recommend mammography screening to their patients [ 27 ]. Therefore, we developed the CME course with the following aims: 1) to increase awareness about breast cancer morbidity and mortality; 2) to increase healthcare providers understanding of factors that influence decision to undergo breast cancer screening; 3) to elucidate how culture and cultural competence can influence breast cancer services; and 4) to develop skills that healthcare providers can use to help recommend breast cancer screening to women of diverse backgrounds.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers

Palmer¹,

Samson²,

Triantis³

et al. 2011

BMC Med Educ

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BackgroundTo develop and evaluate a continuing medical education (CME) course aimed at improving healthcare provider knowledge about breast cancer health disparities and the importance of cross-cultural communication in provider-patient interactions about breast cancer screening.MethodsAn interactive web-based CME course was developed and contained information about breast cancer disparities, the role of culture in healthcare decision making, and demonstrated a model of cross-cultural communication. A single group pre-/post-test design was used to assess knowledge changes. Data on user satisfaction was also collected.ResultsIn all, 132 participants registered for the CME with 103 completing both assessments. Differences between pre-/post-test show a significant increase in knowledge (70% vs. 94%; p < .001). Ninety-five percent of participants agreed that the web based training was an appropriate tool to train healthcare providers about cultural competency and health disparities.ConclusionThere was an overall high level of satisfaction among all users. Users felt that learning objectives were met and the web-based format was appropriate and easy to use and suggests that web-based CME formats are an appropriate tool to teach cultural competency skills. However, more information is needed to understand how the CME impacted practice behaviors.

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Section: Introductionmentioning

confidence: 99%

Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers

Palmer¹,

Samson²,

Triantis³

et al. 2011

BMC Med Educ

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“…The current study shows that in 2016 and 2017, most women visited a screening centre through referrals (20.6% and 18.9%, respectively (Table 3). Women unaware of the screening program mostly use the effective referral process [23] . From another perspective, a high referral rate indicates a low awareness among women about the screening program.…”

Section: Resultsmentioning

confidence: 99%

Assessment of the Iraqi Breast Cancer Early Detection and Downstaging Program: Mammography Cancer Detection Rate

Shakor

2023

PJBAS

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Background: In Iraq, early detection and downstaging of breast cancer programs were launched to control breast cancer (BC) in 2000. In the program model, mammography is conducted for normal and symptomatic women. This study aims to assess the program's model effectiveness in terms of mammography cancer detection rates and other screening determinates in the Iraqi Early Detection Program. Method: This is a retrospective study based on data from the Breast Disease Treatment Centre (BDTC) in Sulaimani, Iraq. From September 2016 to August 2021, 35,045 women visited the centre for BC screening and diagnosis of breast disorders. In BDTC, 16,186 mammograms and 1,289 biopsies were conducted, and 404 women were diagnosed with BC. This study measured the percentage of women who visited BDTC for screening, the women's ages at diagnosis, the cancer detection rate (BC per 1,000 women visiting), the mammography detection rate (BC per 1,000 mammograms) and the percentage of positive core biopsies. Results: The cancer detection rate (CDR) in 1,000 women was 11.53, the overall mammography detection rate was 24.96, and the highest rate was observed in 2018 (42.2). The overall percentage of positive core biopsies was 31.34%. The highest percentage biopsy rate was in 2017 (43.84%). From 2016 to 2021, the percentage of visits for screening increased gradually, rising from 9.5% to 28.6%. Conclusion: The early detection program in Iraq is considered effective in terms of high mammography cancer detection rates and the percentage of positive biopsies. Compared to the previous data, more women participated in the program for screening than for diagnosis.

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“…For example, similar to non-federally funded safety net clinics, FQHCs often lack the specialized staff and refer patients off-site for their follow-up care (5,33). However, this referral process can often be impeded by patient characteristics such as SES (5,34,35).…”

Section: Discussionmentioning

confidence: 99%

Clinic Type and Patient Characteristics Affecting Time to Resolution after an Abnormal Cancer-Screening Exam

Krok‐Schoen

Kurta

Weier

et al. 2015

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Research shows that multilevel factors influence healthcare delivery and patient outcomes. The study goal was to examine how clinic type (academic medical center (AMC) or federally-qualified health center (FQHC)) and patient characteristics influence time to resolution (TTR) among individuals with an abnormal cancer screening test enrolled in a patient navigation (PN) intervention. Methods Data were obtained from the Ohio Patient Navigation Research Project, a group-randomized trial of 862 patients from 18 clinics in Columbus, Ohio. Patient’s TTR after an abnormal breast, cervical, or colorectal screening test and the clinics’ patient and provider characteristics were obtained. Descriptive statistics and Cox shared frailty proportional hazards regression models of TTR were used. Results The mean patient age was 44.8 years and 71% of patients were white. In models adjusted for study arm, FQHC patients had a 39% lower rate of resolution than AMC patients (P=0.004). Patient factors of having a college education, private insurance, higher income, and being older were significantly associated with lower TTR. After adjustment for factors that substantially impacted the effect of clinic type (patient insurance status, education level and age), clinic type was not significantly associated with TTR. Conclusions These results suggest that TTR among individuals participating in PN programs is influenced by multiple socioeconomic patient-level factors rather than clinic type. Consequently, PN interventions should be tailored to address SES factors that influence TTR. Impact These results provide clues regarding where to target PN interventions and the importance of recognizing predictors of TTR according to clinic type.

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Breast cancer screening practices of safety net clinics: Results of a needs assessment study

Cited by 8 publications

References 8 publications

Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers

Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers

Assessment of the Iraqi Breast Cancer Early Detection and Downstaging Program: Mammography Cancer Detection Rate

Clinic Type and Patient Characteristics Affecting Time to Resolution after an Abnormal Cancer-Screening Exam

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