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Implementation of systems strategies for breast and cervical cancer screening services in health maintenance organizations

Affiliations

• ¹ Division of Preventive and Behavioral Medicine, Meyers Primary Care Institute/University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655, USA. karin.goins@umassmed.edu

• PMID: 14626472

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Karin Valentine Goins et al. Am J Manag Care. 2003 Nov.

• ¹ Division of Preventive and Behavioral Medicine, Meyers Primary Care Institute/University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655, USA. karin.goins@umassmed.edu

• PMID: 14626472

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Objective: To describe the systems strategies used to reduce failures in delivery of breast and cervical cancer screening services in HMOs with high performance rates for these services.

Study design: Multiple case study.

Participants and methods: Seven HMOs participated in an assessment of their breast and cervical cancer screening policies and procedures. Current clinical practice guidelines were analyzed, and key informants were interviewed about organizational policies and procedures that ensure initial screening and follow-up of abnormal results. Data were analyzed across plans for several theoretically relevant domains, including leadership and policies, clinical decision support, delivery system design, clinical information systems, and patient self-management support.

Results: Practice guidelines were fundamentally similar across plans for both cancer screenings, although operationalization of risk and formatting of the written documents differed. These plans adopted a wide array of strategies, particularly in the clinical decision support, clinical information systems, and patient self-management support domains, but there is room for improvement. Differences among plans and between strategies for breast and cervical cancer screening provide new understanding of how to approach this problem.

Conclusions: Organizations seeking to improve performance of breast and cervical cancer screening should consider multiple strategies aimed at multiple targets and should ensure that strategies used for one type of cancer are considered for others.

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  Zapka JG, Puleo E, Taplin S, Solberg LI, Mouchawar J, Somkin C, Geiger AM, Ulcickas Yood M. Zapka JG, et al. J Natl Cancer Inst Monogr. 2005;(35):46-54. doi: 10.1093/jncimonographs/lgi037. J Natl Cancer Inst Monogr. 2005. PMID: 16287885

• Primary care practice and facility quality orientation: influence on breast and cervical cancer screening rates.

  Goldzweig CL, Parkerton PH, Washington DL, Lanto AB, Yano EM. Goldzweig CL, et al. Am J Manag Care. 2004 Apr;10(4):265-72. Am J Manag Care. 2004. PMID: 15124503

• A framework for improving the quality of cancer care: the case of breast and cervical cancer screening.

  Zapka JG, Taplin SH, Solberg LI, Manos MM. Zapka JG, et al. Cancer Epidemiol Biomarkers Prev. 2003 Jan;12(1):4-13. Cancer Epidemiol Biomarkers Prev. 2003. PMID: 12540497 Review.

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  Kupets R, Covens A. Kupets R, et al. Gynecol Oncol. 2001 Nov;83(2):186-97. doi: 10.1006/gyno.2001.6387. Gynecol Oncol. 2001. PMID: 11606071 Review.

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  Kirsner RS, Ma F, Fleming L, Trapido E, Duncan R, Federman DG, Wilkinson JD. Kirsner RS, et al. Obstet Gynecol. 2005 Jun;105(6):1381-8. doi: 10.1097/01.AOG.0000161326.15602.fb. Obstet Gynecol. 2005. PMID: 15932833

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  Feldstein AC, Perrin N, Rosales AG, Schneider J, Rix MM, Keels K, Schoap S, Glasgow RE. Feldstein AC, et al. Am J Prev Med. 2009 Aug;37(2):94-101. doi: 10.1016/j.amepre.2009.03.022. Am J Prev Med. 2009. PMID: 19589447 Free PMC article.

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  Winer RL, Tiro JA, Miglioretti DL, Thayer C, Beatty T, Lin J, Gao H, Kimbel K, Buist DSM. Winer RL, et al. Contemp Clin Trials. 2018 Jan;64:77-87. doi: 10.1016/j.cct.2017.11.004. Epub 2017 Nov 4. Contemp Clin Trials. 2018. PMID: 29113956 Free PMC article. Clinical Trial.

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