Breast Care Services Useful Addresses

Abstract: Improving the quality, affordability and accessibility of breast care in the USA remains a high priority among health care leadership, the lay public, and those in elected office. The formulation of public policy in the USA, including federal and state legislation, is informed by a wide variety of public and private advisory and advocacy interests. Private-sector advocacy groups positively influence access, public awareness, and research prioritization. Evolving breast-specific clinical and administrative leadership models have facilitated an emerging management focus on quantifiable attributes of service, professional performance, clinical outcomes, and value. The diversity of breast care delivery environments in the USA adds considerable complexity to the task of improving value and access to care. With robust merger and affiliation activity among hospitals and clinics, health systems and alliances are evolving regionally and nationally to provide performance-based breast-centric management models across diverse populations and geographies.

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The impact of “Be Clear on Cancer” campaign on breast care services provided by a specialist oncoplastic unit – A retrospective case control study

International Journal of Surgery ◽

10.1016/j.ijsu.2017.09.056 ◽

2017 ◽

Vol 47 ◽

pp. 54-60 ◽

Cited By ~ 1

Author(s):

Fayyaz Ali Khan Mazari ◽

Stephen Holt ◽

Iman A. Azmy

Keyword(s):

Case Control Study ◽

Case Control ◽

Retrospective Case ◽

Care Services ◽

Breast Care ◽

The Impact ◽

Control Study

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Integration of Health Questionnaire Systems to Facilitate Supportive Care Services for Patients at an Academic Breast Care Center

JCO Clinical Cancer Informatics ◽

10.1200/cci.18.00018 ◽

2018 ◽

pp. 1-13 ◽

Cited By ~ 1

Author(s):

Emily C. Wong ◽

Celia P. Kaplan ◽

Nickolas Dreher ◽

Jimmy Hwang ◽

Laura van’t Veer ◽

...

Keyword(s):

Breast Cancer ◽

Supportive Care ◽

San Francisco ◽

Care Center ◽

University Of California ◽

Care Needs ◽

Care Services ◽

Breast Care ◽

The University ◽

To Receive

Purpose This study evaluated the use of an electronic Health Questionnaire System (HQS) within the University of California San Francisco Breast Care Center as a screening and triage tool to proactively recognize patients’ supportive care needs during new patient consultations and identify demographic characteristics associated with referrals to three supportive care services. Patients and Methods A total of 428 patients with and without breast cancer between the ages of 18 and 84 years completed HQS intake forms before appointments at the University of California San Francisco Breast Care Center between November 2014 and May 2015 and agreed to participate in this study. Patient HQS responses triggered referrals to supportive care services, and a review of electronic health records was conducted to determine the outcomes of these referrals. Results A total of 242 patients (56.5%) met criteria for at least one supportive care referral. Women with invasive breast cancer or ductal carcinoma in situ met criteria for supportive services more frequently than women without breast cancer diagnoses (76.9% v 23.8%; P < .001) and were most likely to receive referrals for genetic counseling (67.0%), psychological services (32.2%), and social services (12.1%). Multivariable logistic regression analysis showed that being married was associated with fewer referrals to social work (OR, 0.42; 95% CI, 0.21 to 0.81) and that those between 45 and 54 years of age were less likely to receive referrals to genetic counseling than those ≥ 55 years of age (OR, 0.41; 95% CI, 0.23 to 0.73). Among all referrals (n = 369), 26.8% resulted in completed appointments. Conclusion Using an automated intake form is an efficient way to identify and triage individuals in need of supportive care services and can provide insight into the populations with supportive care needs for targeted outreach.

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