scholarly journals Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives on cervical and breast cancer screening rates

2021 ◽  
Author(s):  
Janusz Kaczorowski ◽  
Stephen JC Hearps ◽  
Lynne Lohfeld ◽  
Ron Goeree ◽  
Faith Donald ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Nurse Practitioners ◽  
Pay For Performance ◽  
Performance Incentives ◽  
Pap Tests ◽  
Before And After ◽  
Recall System

<p>Objective : To evaluate the effect of the Provider and Patient Reminders in Ontario: Multi-Strategy Prevention Tools (P-PROMPT) reminder and recall system and pay-for-performance incentives on the delivery rates of cervical and breast cancer screening in primary care practices in Ontario, with or without deployment of nurse practitioners (NPs). </p> <p>Design : Before-and-after comparisons of the time-appropriate delivery rates of cervical and breast cancer screening using the automated and NP–augmented strategies of the P-PROMPT reminder and recall system. </p> <p>Setting : Southwestern Ontario. </p> <p>Participants : A total of 232 physicians from 24 primary care network or family health network groups across 110 different sites eligible for pay-for-performance incentives. </p> <p>Interventions : The P-PROMPT project combined pay-for-performance incentives with provider and patient reminders and deployment of NPs to enhance the delivery of preventive care services. </p> <p>Main outcome measures : The mean delivery rates at the practice level of time-appropriate mammograms and Papanicolaou tests completed within the previous 30 months. </p> <p>Results : Before-and-after comparisons of time-appropriate delivery rates (<30 months) of cancer screening showed the rates of Pap tests and mammograms for eligible women significantly increased over a 1-year period by 6.3% (P >< .001) and 5.3% (P < .001), respectively. The NP-augmented strategy achieved comparable rate increases to the automated strategy alone in the delivery rates of both services. </p> <p>Conclusion : The use of provider and patient reminders and pay-forperformance incentives resulted in increases in the uptake of Pap tests and mammograms among eligible primary care patients over a 1-year period in family practices in Ontario.</p>

Effect of a breast navigation programme in a teaching hospital in Africa

2017 ◽  
Vol 1 ◽  
pp. 6
Author(s):  
Bahaty Riogi ◽  
Ronald Wasike ◽  
Hassan Saidi
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Patient Navigation ◽  
Developed Countries ◽  
University Hospital ◽  
Positive Effects ◽  
Examination Finding ◽  
Before And After ◽  
Clinical Breast

<strong>Background:</strong> Breast cancer screening programmes have been developed in few developing countries to aid curb the increasing burden. However, breast cancer is still being detected in late stage, attributed to barriers in health care. Patient navigation programmes have been implemented in developed countries to help patients overcome these barriers, and they have been associated with early detection and timely diagnosis. Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous.<br /><strong>Aim:</strong> To evaluate the effect of patient navigation programme on patient return after an abnormal clinical breast cancer screening examination finding at Aga Khan University Hospital, Nairobi(AKUH-N).<br /><strong>Setting:</strong> Women presenting for breast screening.<br /><strong>Methods:</strong> This was a before-and-after study conducted on 76 patients before and after the implementation of the navigation programme. They were followed up for 30 days. Measures included proportion of patient return and time to return.<br /><strong>Results:</strong> The proportion of return of patients in the navigated and non-navigated group was 57.9% and 23.7%, respectively (odds ratio [OR]: 4.43 [95% confidence interval, CI: 1.54– 12.78]; <em>p</em> = 0.0026).The proportion of timely return in the navigated group was 90.1% and 77.8% for the non-navigated group (OR: 2.85 [95% CI: 0.34–24.30], <em>p</em> = 0.34). The mean time to return in the non-navigated and navigated group was 7.33 days and 8.33 days, respectively (<em>p</em> = 0.67).<br /><strong>Conclusion:</strong> There was an increase in the proportion of patients who returned for follow-up following abnormal clinical breast examination finding after implementation of the breast navigation programme at AKUH-N.

scholarly journals Variation in Breast Cancer Screening Recommendations by Primary Care Providers Surveyed in Wisconsin

2020 ◽  
Vol 35 (9) ◽  
pp. 2553-2559
Author(s):  
Emily Nachtigal ◽  
Noelle K. LoConte ◽  
Sarah Kerch ◽  
Xiao Zhang ◽  
Amanda Parkes
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Primary Care Providers ◽  
Care Providers

Breast Cancer Screening in Older Women: Practices and Barriers Reported by Primary Care Physicians

1991 ◽  
Vol 39 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Morris Weinberger ◽  
Amy F. Saunders ◽  
Gregory P. Samsa ◽  
Lucille B. Bearon ◽  
Deborah T. Gold ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Older Women ◽  
Breast Cancer Screening ◽  
Primary Care Physicians

scholarly journals Multi-level Influences on Breast Cancer Screening in Primary Care

2018 ◽  
Vol 33 (10) ◽  
pp. 1729-1737 ◽  
Author(s):  
Tracy Onega ◽  
Tor D. Tosteson ◽  
Julie Weiss ◽  
Jennifer S. Haas ◽  
Martha Goodrich ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Multi Level

PO13 Multi-level influences on breast cancer screening metrics in primary care

The Breast ◽  
2018 ◽  
Vol 38 ◽  
pp. 196-197
Author(s):  
T. Onega ◽  
T.D. Tosteson ◽  
J. Weiss ◽  
J. Haas ◽  
G. Goodrich ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Multi Level

Adherence to Cancer Screening

1995 ◽  
Vol 2 (6) ◽  
pp. 510-517 ◽  
Author(s):  
Barbara K. Rimer
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Skin Cancer ◽  
Breast Cancer Screening ◽  
Skin Cancer Screening ◽  
Pap Tests ◽  
Risk Of Death ◽  
Screening Procedures

Routine breast cancer screening for women 50 years of age and older can reduce mortality from breast cancer by 30% to 35%. Regular Papanicolaou tests can decrease mortality from cervical cancer dramatically, and skin cancer screening could decrease deaths from melanoma. Adherence to recommended screening procedures for breast, cervical, and skin cancer screening increases the potential to lower the risk of death and disability from these diseases. The National Cancer Institute's goals include increasing the proportion of women who get regular mammograms to 80%, and similar goals have been issued for Pap tests. Yet, most women still are not being screened for breast or cervical cancer on a regular basis, and most people do not have regular skin checks for cancer.

scholarly journals The association of chronic diseases and mammography among Medicare beneficiaries living in Appalachia

2020 ◽  
Vol 16 ◽  
pp. 174550652093302
Author(s):  
Bilikisu Elewonibi ◽  
Chigozie Nkwonta
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Chronic Disease ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Chronic Diseases ◽  
Care Provider ◽  
Primary Care Provider ◽  
Strong Predictor ◽  
Cancer Registries

Objective: This study assessed the relationship between presence and number of chronic disease and reception of mammogram in women 65 years and older, and how this relationship is influenced by primary care provider visits. Methods: A total of 3306 women diagnosed with breast cancer from 2006 to 2008 from cancer registries in four Appalachian states were analyzed. Results: Having a mammogram within the past 2 years was associated with having at least one chronic disease. The presence of a chronic disease was associated with an increased likelihood of breast cancer screening adherence but was not a strong predictor when demographic variables were added. Conclusion: This study supports the findings that women with more primary care provider visits were more likely to adhere to breast cancer screening guidelines but having several chronic diseases presents a barrier to achieving guideline-concordant mammography screening, highlighting the importance of preventive screening for patients managing chronic diseases.

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