Sources of Health Insurance in the U.S.

Sk, Chattopadhyay; Hi, Hall; Rb, Wolf; Ws, Custer

doi:10.1097/00124784-199905000-00007

Cited by 8 publications

(1 citation statement)

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“…(5, 36) There is evidence suggesting the effectiveness of NBCCEDP to facilitate timely follow-up after abnormal breast cancer screening. (32) However, due to limited funding, NBCCEDP services reach only 12–15% of the eligible breast and cervical cancer population (37, 38), and there remains a substantial need for services for underserved populations. PN aims to alleviate disparities in cancer outcomes that are due to barriers for obtaining cancer care.…”

Section: Discussionmentioning

confidence: 99%

Follow-Up and Timeliness After an Abnormal Cancer Screening Among Underserved, Urban Women in a Patient Navigation Program

Markossian

Darnell

Calhoun

2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background We evaluated the efficacy of a Chicago-based cancer patient navigation program developed to increase the proportion of patients reaching diagnostic resolution and reduce the time from abnormal screening test to definitive diagnostic resolution. Methods Women with an abnormal breast (n=352) or cervical (n=545) cancer screening test were recruited for the quasi-experimental study. Navigation subjects originated from five federally qualified health center sites and one safety net hospital. Records-based concurrent control subjects were selected from 20 sites. Control sites had similar characteristics to the navigated sites in terms of patient volume, racial/ethnic composition, and payor mix. Mixed-effects logistic regression and Cox proportional hazard regression analyses were conducted to compare navigation and control patients reaching diagnostic resolution by 60 days and time to resolution, adjusting for demographic covariates and site. Results Compared to controls, the breast navigation group had shorter time to diagnostic resolution (aHR=1.65, CI=1.20–2.28) and the cervical navigation group had shorter time to diagnostic resolution for those who resolved after 30 days (aHR= 2.31, CI=1.75–3.06), with no difference before 30 days (aHR= 1.42, CI=0.83–2.43). Variables significantly associated with longer time to resolution for breast cancer screening abnormalities were being older, never partnered, abnormal mammogram and BI-RADS 3, and being younger and Black for cervical abnormalities. Conclusions Patient navigation reduces time from abnormal cancer finding to definitive diagnosis in underserved women. Impact Results support efforts to use patient navigation as a strategy to reduce cancer disparities among socioeconomically disadvantaged women.

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Section: Discussionmentioning

confidence: 99%

Follow-Up and Timeliness After an Abnormal Cancer Screening Among Underserved, Urban Women in a Patient Navigation Program

Markossian

Darnell

Calhoun

2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Impact of Women’s Experiences During Mammography on Adherence to Rescreening (United States)

Peipins

Shapiro

Bobo

et al. 2006

Cancer Causes Control

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Meeting the mammography screening needs of underserved women: the performance of the National Breast and Cervical Cancer Early Detection Program in 2002–2003 (United States)

Tangka

Dalaker

Chattopadhyay

et al. 2006

Cancer Causes Control

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Objective To examine the extent to which the National Breast and Cervical Cancer Early Detection Program (Program) has helped to meet the mammography screening needs of underserved women. Methods Low-income, uninsured women aged 40-64 are eligible for free mammography screening through the Program. We used data from the U.S. Census Bureau to estimate the number of women eligible for services. We obtained the number of women receiving Program-funded mammograms from the Program. We then calculated the percentage of eligible women who received mammograms through the Program. Conclusions Although the Program provided screening services to over a half-million low-income, uninsured women for mammography, it served a small percentage of those eligible. Given that in 2003 more than 2.3 million uninsured, low-income women aged 40-64 did not receive recommended mammograms from either the Program or other sources, there remains a substantial need for services for this historically underserved population.

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Sources of Health Insurance in the U.S.

Cited by 8 publications

References 0 publications

Follow-Up and Timeliness After an Abnormal Cancer Screening Among Underserved, Urban Women in a Patient Navigation Program

Follow-Up and Timeliness After an Abnormal Cancer Screening Among Underserved, Urban Women in a Patient Navigation Program

Impact of Women’s Experiences During Mammography on Adherence to Rescreening (United States)

Meeting the mammography screening needs of underserved women: the performance of the National Breast and Cervical Cancer Early Detection Program in 2002–2003 (United States)

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