Is Availability of Mammography Services at Federally Qualified Health Centers Associated with Breast Cancer Mortality-to-Incidence Ratios? An Ecological Analysis

Abstract

Mammography services provided at FQHCs may have a positive impact on breast cancer MIRs. Expansion of services provided at the FQHCs and placement of FQHCs in additional underserved areas might help to reduce cancer disparities in the United States.

Use of Evidence-Based Interventions and Implementation Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers

“…The low response rate could potentially impact the external generalizability of our findings, as it is possible that those FQHCs that participated were more interested in CRC screening or implementation of quality improvement strategies than those that elected to not complete a survey. However, the characteristics of the participating FQHCs are similar to other FQHCs reported in the literature [40–45].…”

Adams et al. Respond

“…5,6 Because FQHCs are the medical home of choice (if not necessity) for diverse and vulnerable populations, we believe that they provide a useful example of the potential of Medicaid expansion. 5,6 Because FQHCs are the medical home of choice (if not necessity) for diverse and vulnerable populations, we believe that they provide a useful example of the potential of Medicaid expansion.…”

“…3 In addition, it has been noted that state Medicaid expansions to cover low-income adults were significantly associated with reduced mortality as well as improved coverage, access to care, and selfreported health. 5 As the authors note, the time lag between lack of screening and mortality-to-incidence ratio means the full implications of not expanding Medicaid will be more apparent in five to 10 years, assuming there are no other major considerations that might confound the data. 5 As the authors note, the time lag between lack of screening and mortality-to-incidence ratio means the full implications of not expanding Medicaid will be more apparent in five to 10 years, assuming there are no other major considerations that might confound the data.…”

A Bivariate Mapping Tutorial for Cancer Control Resource Allocation Decisions and Interventions

“…This approach uses choropleth mapping (ie, a thematic map where areas are colored to represent data values) to display 2 variables simultaneously among geographic units such as states or counties by creating "n × n" groupings where values of both variables intersect. State-level studies have used bivariate mapping to examine lung cancer mortality relative to access to lung cancer screening, racial disparities in 2 types of cancer screening, late-stage rates of 2 cancers, and other cancer-related data (6,(10)(11)(12)(13). Overall, bivariate mapping is underused in cancer control, especially at the sub-state level (eg, counties).…”