scholarly journals Primary Care Provider Practices and Perceptions Regarding HPV Vaccination and Anal Cancer Screening at a Boston Community Health Center

2018 ◽  
Vol 43 (4) ◽  
pp. 792-801 ◽  
Author(s):  
Kaan Z. Apaydin ◽  
Holly B. Fontenot ◽  
Derri L. Shtasel ◽  
Kenneth H. Mayer ◽  
Alex S. Keuroghlian
Keyword(s):  
Primary Care ◽  
Cancer Screening ◽  
Community Health ◽  
Health Center ◽  
Care Provider ◽  
Primary Care Provider ◽  
Hpv Vaccination ◽  
Community Health Center ◽  
Provider Practices ◽  
Anal Cancer Screening

Primary Care Provider Practices That Are Concordant and Discordant With Colorectal Cancer Screening Rates

2017 ◽  
Vol 112 ◽  
pp. S147-S148
Author(s):  
Jennifer Weiss ◽  
Sally Kraft ◽  
Nancy Pandhi ◽  
Aaron Potvien ◽  
Pascale Carayon ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Care Provider ◽  
Primary Care Provider ◽  
Provider Practices

scholarly journals Integrating Genomic Screening into Primary Care: Provider Experiences Caring for Latino Patients at a Community-Based Health Center

2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
Tarika Srinivasan ◽  
Erica J. Sutton ◽  
Annika T. Beck ◽  
Idali Cuellar ◽  
Valentina Hernandez ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Care ◽  
Health Center ◽  
Care Provider ◽  
Primary Care Provider ◽  
Genomic Sequencing ◽  
Community Based ◽  
Genomic Screening

Introduction: Minority communities have had limited access to advances in genomic medicine. Mayo Clinic and Mountain Park Health Center, a Federally Qualified Health Center in Phoenix, Arizona, partnered to assess the feasibility of offering genomic screening to Latino patients receiving care at a community-based health center. We examined primary care provider (PCP) experiences reporting genomic screening results and integrating those results into patient care. Methods: We conducted open-ended, semi-structured interviews with PCPs and other members of the health care team charged with supporting patients who received positive genomic screening results. Interviews were recorded, transcribed, and analyzed thematically. Results: Of the 500 patients who pursued genomic screening, 10 received results indicating a genetic variant that warranted clinical management. PCPs felt genomic screening was valuable to patients and their families, and that genomic research should strive to include underrepresented minorities. Providers identified multiple challenges integrating genomic sequencing into patient care, including difficulties maintaining patient contact over time; arranging follow-up medical care; and managing results in an environment with limited genetics expertise. Providers also reflected on the ethics of offering genomic sequencing to patients who may not be able to pursue diagnostic testing or follow-up care due to financial constraints. Conclusions: Our results highlight the potential benefits and challenges of bringing advances in precision medicine to community-based health centers serving under-resourced populations. By proactively considering patient support needs, and identifying financial assistance programs and patient-referral mechanisms to support patients who may need specialized medical care, PCPs and other health care providers can help to ensure that precision medicine lives up to its full potential as a tool for improving patient care.

scholarly journals Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states

Cancer ◽  
2014 ◽  
Vol 121 (8) ◽  
pp. 1241-1248 ◽  
Author(s):  
Shin-Ping Tu ◽  
Vicki M. Young ◽  
Letoynia J. Coombs ◽  
Rebecca S. Williams ◽  
Michelle C. Kegler ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Best Practices ◽  
Community Health ◽  
Health Center ◽  
Colorectal Cancer Screening ◽  
Community Health Center

scholarly journals Capturing Relevant Patient Data in Clinical Encounters Through Integration of an Electronic Patient-Reported Outcome System Into Routine Primary Care in a Boston Community Health Center: Development and Implementation Study (Preprint)

2019 ◽  
Author(s):  
Stephanie Loo ◽  
Chris Grasso ◽  
Jessica Glushkina ◽  
Justin McReynolds ◽  
William Lober ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Improve Patient Care ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Patient Provider Communication ◽  
Improve Patient

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.

scholarly journals FAKTOR YANG BERHUBUNGAN DENGAN PEMERIKSAAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR

2018 ◽  
Vol 3 (1) ◽  
pp. 184
Author(s):  
Meta Rikandi ◽  
Nova Rita
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Community Health ◽  
Health Center ◽  
Cervical Cancer Screening ◽  
Random Sampling ◽  
Community Health Center ◽  
Stratified Random Sampling ◽  
Husband Support ◽  
Early Cervical Cancer

<p><em>Based on cancer data in 13 laboratory pathology centers, cervical cancer is a type of cancer that has the largest number of patients in Indonesia, which is as many as 36% of patients. Data from Lubuk Buaya Community Health Center were obtained that performed IVA examination as many as 50 people (0,4%) from 14,199 target. This study aims to determine factors related to visual inspection of Acetic Acid on Women of Infertile Age in the Work Area of Lubuk Buaya Community Health Center in 2017. The study employed the survey deskriptif analitik ,the data analis used chi squre, population is 384 people fertile age women, the research sampel were 384 stratified random sampling. The result showed that 60.9% of women of childbearing age had never done cervical cancer early testing by IVA method, 45.6% knowledge was low, 50% negative attitude, 77,9% did not get husband support, 38,8% did not get health promotion . There was a significant relationship between knowledge (P = 0,000), attitude (P = 0,000), husband support (P = 0,000), promotion (P = 0,000) health with early cervical cancer screening by IVA method. Lubuk Buaya Community Health Center and local officers should pay more attention to the success of early cervical cancer screening program IVA method with the formation of cadres in each Urban Village so that the information can be given thoroughly.</em></p><p> </p><p>Berdasarkan data kanker di 13 pusat laboratorium patologi, kanker serviks merupakan jenis kanker yang memiliki jumlah penderita terbanyak di Indonesia, yaitu sebanyak 36% penderita. Data dari Puskesmas Lubuk Buaya didapatkan yang melakukan pemeriksaan IVA sebanyak 50 orang (0,4%) dari 14.199 sasaran. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemeriksaan Inspeksi Visual Asam Asetat pada Wanita Usia Subur di Wilayah Kerja Puskesmas Lubuk Buaya tahun 2017. Metode yang digunakan <em>deskriptif analitik</em> dengan analisis data <em>chi square</em>, populasi adalah wanita usia subur yang berjumlah 384 orang. Pengambilan sampel yaitu stratified random sampling sebanyak 384. Teknik pengumpulan data dilakukan dengan wawancara kepada pasien dengan menggunakan kuesioner. Analisis data yang digunakan yaitu univariat dan bivariat. Hasil Penelitian didapatkan 60,9% wanita usia subur belum pernah melakukan pemeriksaan dini kanker serviks dengan metode IVA, 45,6% pengetahuan rendah, 50% sikap negatif, 77,9% tidak mendapat dukungan suami, 38,8% tidak mendapat promosi kesehatan. Ada hubungan yang bermakna antara pengetahuan(P=0,000 ), sikap(P=0,000), dukungan suami(P=0,000), promosi (P=0,000) kesehatan dengan pemeriksaan dini kanker serviks dengan  metode IVA. Pihak Puskesmas Lubuk Buaya Padang serta petugas setempat harus lebih memperhatikan keberhasilan program pemeriksaan dini kanker serviks metode IVA dengan adanya pembentukkan kader pada setiap kelurahan sehingga pemberian informasi dapat diberikan secara menyuluruh.</p>

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