Patterns of Cervical Cancer Screening Among Medicaid Beneficiaries

Author(s):  
Jacquelyn Dillon ◽  
Ling Chen ◽  
Alexander Melamed ◽  
Caryn M. St. Clair ◽  
June Y. Hou ◽  
...  
2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 322-322
Author(s):  
Pamela Crenshaw Spain ◽  
Hannah Margaret Clare ◽  
Christina Fowler

322 Background: The Affordable Care Act (Section 1139B) requires the Secretary of HHS to identify and publish a core set of health care quality measures for adult Medicaid beneficiaries aimed at standardizing health care quality measurement across state Medicaid programs. On January 1, 2013, the Medicaid Quality Measurement Program was established to fund the development, testing, and validation of the adult health quality measures. The Medicaid Adult Core Set of Adult Health Care Quality includes two cancer screening measures (Exhibit 1). With grants from The Centers for Medicare & Medicaid Services (CMS), three state Medicaid agencies carried out quality improvement projects (QIPs) aimed at increasing breast and cervical cancer screening rates. This study describes a qualitative assessment of these states’ QIPs. Methods: Data included grantee applications, semi-annual, and annual progress reports to CMS, as well as in-depth interviews with grantees. Qualitative content analysis (using both structured abstraction and deductive and inductive coding) was conducted in NVivo 11. Results: Breast and cervical cancer screening rates for adult Medicaid beneficiaries improved in these states during the 3-year grant. The most effective interventions identified by the states included: System-level interventions such as the distribution of performance dashboards with peer comparison data; Provider-level interventions such as the distribution of unmet need or gap-in-care reports; and Beneficiary-level interventions such as direct nurse outreach to beneficiaries with a gap in care. Conclusions: QIPs can improve breast and cervical cancer screening rates in adult Medicare beneficiaries. The most effective interventions are multi-pronged and should target health care systems, providers, and beneficiaries.[Table: see text]


2005 ◽  
Author(s):  
Ruth Elwood Martin ◽  
Greg Hislop ◽  
Veronika Moravan ◽  
Garry Grams ◽  
Betty Calam

2018 ◽  
Vol 1 (1) ◽  
pp. 32-36
Author(s):  
Eleazar Ndabarora ◽  
Dariya Mukamusoni ◽  
Clarte Ndikumasabo ◽  
Védaste Ngirinshuti

Cervical cancer is one of the leading causes of morbidity and mortality globally and in Sub-Saharan Africa in particular. There is evidence that early detection and early management of cases are the best strategies to prevent and control this health threat, since treatment of the later stages of the diseases are very expensive. The objectives of the review were: (1) to identify and review studies on the prevalence of cervical cancer and determinants of early detection in Sub-Saharan Africa, and (2) to recommend further studies and interventions based on the findings of this review. Extensive literature search was conducted using the MeSH terms. Articles on cervical cancer and/or determinants of early detection which fulfilled inclusion criteria were reviewed independently by three reviewers. The prevalence of cervical cancer in Sub-Saharan Africa is increasing. Although there are evidences that cervical cancer screening programs are practical and feasible even in resource-limited settings in Sub-Saharan Africa, there is a very low uptake of cervical cancer screening and there are key factors that need to be addressed in order to make these programs established and effective.


2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Jude Egwurugwu ◽  
S.D. Ejikunle ◽  
E.I. Dike ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
...  

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and the most common cancer among women in developing countries like Nigeria. Though preventable by screening for premalignant and early cervical lesions, this is predicated on the knowledge and practice of a cervical screening. Objective: To assess the knowledge and practice of cervical cancer screening among women in Orlu, Local Government Area(LGA) Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer – administered questionnaires was conducted among women in Orlu LGA of Imo State. All the women in the communities attending the annual August Meeting who consented were recruited for this study. Results: The study showed that the mean age of the respondents was 42±2.8years. Furthermore, 82.3% of respondents attained postsecondary school educational level, 61.8% & 21.1% were multiparous and grand multiparous respectively. Also, 80.5% of respondents have heard about cervical cancer screening. Majority (67.5%) of these respondents heard it from health care providers. There was a positive statistically significant relationship between educational status and the likelihood of having knowledge of cervical cancer screening, (p< 0.01). The level of practice of cervical cancer screening was very low among the respondents(13.5%).Though majority of the respondents have high level of educational attainment this did not reflect their practice of cervical cancer screening. Conclusion: There was high knowledge of cervical cancer and cervical screening modalities among women in Orlu but their practice of cervical cancer screening was very low. There is an urgent need to educate and encourage women on the benefits of cervical cancer screening. Key words: cervical cancer, knowledge, Practice, Orlu women, Screening.


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