Eliminating health disparities: Innovative methods to improve cervical cancer screening in a medically underserved population

M. Bharel, E.R. Santiago, S.N. Forgione, C.K. León and L. Weinreb

American Journal of Public Health, 2015, vol. 105, S438-S442

Abstract: Homeless women have disproportionately lower rates of cervical cancer screening and higher rates of cervical cancer. In 2008, only 19% of the homeless women seen by Boston Health Care for the Homeless Program (BHCHP) were screened for cervical cancer. To improve screening, BHCHP implemented a 6-part intervention that incorporates point-of-care service, multidisciplinary screening, improved health maintenance forms, population management, process improvement, and increased provider and patient education. This resulted in a significant increase in cervical cancer screening, from 19% in 2008 to 50% in 2013. When compared with national and local cervical cancer screening trends, BHCHP surpassed improvement rates seen in other vulnerable populations. Simple and innovative interventions proved to be the most effective and practical methods of improving screening.

Keywords: adult; female; health care disparity; health care planning; homelessness; human; mass screening; non profit organization; organization; patient education; procedures; total quality management; United States; Uterine Cervical Neoplasms, Adult; Boston; Female; Healthcare Disparities; Homeless Persons; Humans; Mass Screening; Medically Underserved Area; Organizational Innovation; Organizations, Nonprofit; Patient Education as Topic; Quality Improvement; Uterine Cervical Neoplasms (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302417_7

DOI: 10.2105/AJPH.2014.302417

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