National Breast and Cervical Cancer Early Detection Program : 1991–2002 national report
Corporate Authors:National Center for Chronic Disease Prevention and Health Promotion (U.S.), Division of Cancer Prevention and Control.
Description:The National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which was created in response to the Breast and Cervical Cancer Mortality Prevention Act passed by Congress in 1990, is both the first and thus far the only national cancer screening program in the United States. As a consequence, its successes
and challenges are relevant not only to those who manage, implement, and are served by the program, but
to policy makers, the health care system, the public health community, and the general public as well. CDC is pleased to offer this summary of the accomplishments of the NBCCEDP from 1991–2002. Through it the reader may gain insight into the complexity of this program designed to improve the quality of breast and cervical can- cer screening and early detection services and assure access to them for women who, for a variety of reasons, would otherwise not receive these services.
Clients of the NBCCEDP have no health insurance that covers screening, and little or no discretionary income; they often have no “medical home.” They represent minority populations and those who are geographically or culturally isolated from existing services. Most are over 40 but not yet 65—often working as well as caring for grandchildren or aging parents—with little social support or scheduling flexibility. Educating and motivating these women to want screening; ensuring that services are convenient, accessible, and provided in a respect- ful, culturally competent manner; and effectively communicating results, recalling, and assisting women who need additional services are among the responsibilities of every funded program. Grantees are held to high standards for reporting services provided, their appropriateness, timeliness, and outcomes. Quality assurance, including provider education and the development of data review processes to identify problems, is a critical component of this work.
This report summarizes the first 12 years of the NBCCEDP. During this period, the program grew from 8 to 68 grantees and from serving thousands to serving hundreds of thousands of women each year. Both CDC and Medicare policy changes influenced which women were served, and how they were served, during this period. The program has had a rich history, with many lessons assimilated into the way NBCCEDP is managed, imple- mented, and evaluated today.
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