Increasing population-based breast and cervical cancer screenings : an action guide to facilitate evidence-based strategies
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Increasing population-based breast and cervical cancer screenings : an action guide to facilitate evidence-based strategies

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      Currently, the NBCCEDP is mandated to expend at least 60 percent of funds on direct screening services. In addition, CDC is encouraging NBCCEDP grantees to focus not only on screening eligible women and providing associated services, but also on educating partners and systems on strategies to increase breast and cervical cancer screening of all women of appropriate screening age. The intent is to focus on systems change where impact can extend across other programs and agencies to serve the entire population. This focus on population-based screening and systems change is driven by two factors. First, it is in line with CDC’s mission to reach the Healthy People 2020 objective to reduce the number of deaths caused by breast and cervical cancer among all US populations. Second, by expanding the NBCCEDP’s focus, CDC is taking advantage of opportunities provided by the Affordable Care Act. The law requires nongrandfathered private health insurance plans to cover USPSTF “A” or “B” rated clinical preventive services, including breast and cervical cancer screening, with no cost sharing. The law has increased access to breast and cervical cancer screening for many low-income, underserved women by expanding availability of insurance coverage and eliminating cost-sharing for these services. CDC and NBCCEDP grantees have an opportunity to build on the NBCCEDP’s capacity and extensive clinical network. By using the knowledge gained from years of experience in ensuring the delivery of high-quality clinical preventive services, the NBCCEDP can have a broader effect by using the following population-based screening and systems change approaches:

      • Public education and outreach—educate all women about the advantages of screening, as well as risks and how to access screening services.

      • Screening services and care coordination—provide screening and patient navigation services to women who remain uninsured or underinsured and qualify and help all women with positive results get appropriate follow-up care.

      • Quality assurance, surveillance, and monitoring—use existing infrastructure of state and local health departments to monitor the provisioning of screening services in every community, and adapt and expand existing NBCCEDP quality assurance systems to other health care settings.

      • Organized screening systems—take a leadership role with organizations such as state Medicaid programs and state insurance exchanges to establish active outreach and screening management systems to promote, coordinate, and monitor cancer screening.

      This publication was supported by Cooperative Agreement Number U58DP002846 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the U.S. government.

      Suggested citation: Centers for Disease Control and Prevention. Increasing Population-based Breast and Cervical Cancer Screenings: An Action Guide to Facilitate Evidence-based Strategies. Atlanta: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2014.


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