Open AccessEliminating Health Disparities: Innovative Methods to Improve Cervical Cancer Screening in a Medically Underserved Population
Author(s) -
Monica Bharel,
Emely R. Santiago,
Sanju Nembang Forgione,
Casey K. León,
Linda Weinreb
Publication year - 2015
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2014.302417
Subject(s) - medicine , cervical cancer , cervical cancer screening , family medicine , psychological intervention , cancer screening , population , cancer , multidisciplinary approach , health care , intervention (counseling) , gynecology , gerontology , environmental health , nursing , social science , sociology , economics , economic growth
Homeless women have disproportionately lower rates of cervical cancer screening and higher rates of cervical cancer. In 2008, only 19% of the homeless women seen by Boston Health Care for the Homeless Program (BHCHP) were screened for cervical cancer. To improve screening, BHCHP implemented a 6-part intervention that incorporates point-of-care service, multidisciplinary screening, improved health maintenance forms, population management, process improvement, and increased provider and patient education. This resulted in a significant increase in cervical cancer screening, from 19% in 2008 to 50% in 2013. When compared with national and local cervical cancer screening trends, BHCHP surpassed improvement rates seen in other vulnerable populations. Simple and innovative interventions proved to be the most effective and practical methods of improving screening.
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