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Challenges and Opportunities to Improve Cervical Cancer Screening Rates in US Health Centers through Patient-Centered Medical Home Transformation
Joint Authors
Lin, Sue C.
Moshkovich, Olga
Lebrun-Harris, Lydie
Makaroff, Laura
Chidambaran, Preeta
Chung, Michelle
Sripipatana, Alek
Source
Advances in Preventive Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-21
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Over the last 50 years, the incidence of cervical cancer has dramatically decreased.
However, health disparities in cervical cancer screening (CCS) persist for women from racial and ethnic minorities and those residing in rural and poor communities.
For more than 45 years, federally funded health centers (HCs) have been providing comprehensive, culturally competent, and quality primary health care services to medically underserved communities and vulnerable populations.
To enhance the quality of care and to ensure more women served at HCs are screened for cervical cancer, over eight HCs received funding to support patient-centered medical home (PCMH) transformation with goals to increase CCS rates.
The study conducted a qualitative analysis using Atlas.ti software to describe the barriers and challenges to CCS and PCMH transformation, to identify potential solutions and opportunities, and to examine patterns in barriers and solutions proposed by HCs.
Interrater reliability was assessed using Cohen’s Kappa.
The findings indicated that HCs more frequently described patient-level barriers to CCS, including demographic, cultural, and health belief/behavior factors.
System-level barriers were the next commonly cited, particularly failure to use the full capability of electronic medical records (EMRs) and problems coordinating with external labs or providers.
Provider-level barriers were least frequently cited.
American Psychological Association (APA)
Moshkovich, Olga& Lebrun-Harris, Lydie& Makaroff, Laura& Chidambaran, Preeta& Chung, Michelle& Sripipatana, Alek…[et al.]. 2015. Challenges and Opportunities to Improve Cervical Cancer Screening Rates in US Health Centers through Patient-Centered Medical Home Transformation. Advances in Preventive Medicine،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1053865
Modern Language Association (MLA)
Moshkovich, Olga…[et al.]. Challenges and Opportunities to Improve Cervical Cancer Screening Rates in US Health Centers through Patient-Centered Medical Home Transformation. Advances in Preventive Medicine No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1053865
American Medical Association (AMA)
Moshkovich, Olga& Lebrun-Harris, Lydie& Makaroff, Laura& Chidambaran, Preeta& Chung, Michelle& Sripipatana, Alek…[et al.]. Challenges and Opportunities to Improve Cervical Cancer Screening Rates in US Health Centers through Patient-Centered Medical Home Transformation. Advances in Preventive Medicine. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1053865
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053865