Reaching Women for Mammography Screening

By Department of Health and Human Services

Book Id: WPLBN0000190202
Format Type: PDF eBook
File Size: 0.6 MB
Reproduction Date: 2005

Title:	Reaching Women for Mammography Screening
Author:	Department of Health and Human Services
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago Health And Human Services, D. O. (n.d.). Reaching Women for Mammography Screening. Retrieved from http://gutenberg.cc/

Excerpt
Introduction: Background: Scientific evidence through clinical trials has shown that mammography screening reduces the mortality and morbidity associated with breast cancer. Many studies have demonstrated the benefits of regular screening in detecting early tumors in women of all ages.1,2 Some research suggests that screening programs that include mammography can produce up to a 31% reduction in breast cancer mortality.3,4 To achieve the national goal of reducing morbidity and premature death from breast cancer, more complete coverage of mammography screening is needed among older women in every community across the United States. While scientists and public health professionals agree that women 50 years and older should receive mammography screening every 1 to 2 years, similar agreement about how to increase the percentage of older women in the community who receive appropriate screening is lacking.5 Programmatic recommendations for increasing screening are needed by both public and private sector organizations. For example, managed care organizations (MCOs) are eager to learn successful strategies for motivating older women in their patient population to seek mammography screening. As MCOs begin to serve more women who participate in Medicaid or Medicare, through Medicaid and Medicare risk contracts, it is critical to both the MCOs and the women that the women seek the mammography screening available to them. It is important to recognize that these women face barriers to mammography screening that present new challenges for MCOs.

Table of Contents
Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Limitations and Caveats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Inreach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Direct Inreach to Clinic Populations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Direct Educational Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Tracking and Reminder Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Incentives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Staff Development and Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Physician Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Training and Recruitment of Nurses and Midlevel Practitioners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Radiologic Technician Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 All-Staff Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Reaching Nonphysician Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Public Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Introduction to the Health Communication Process . . . . . . . . . . . . . . . . . . 25 Using Multiple Media Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Television . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Radio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Environmental Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Billboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Signage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Special Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Additional Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Outreach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 The Transtheoretical Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Stages of Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Processes of Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60