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Prescribe for Health

Prescribe for Health ORIGINAL CONTRIBUTION Improving Cancer Screening in Physician Practices Serving Low-Income and Minority Populations Clara Manfredi, PhD; Ronald Czaja, PhD; Sally Freels, PhD; Mitchell Trubitt, MD; Richard Warnecke, PhD; Loretta Lacey, DrPH, RN† Objective: To evaluate a health maintenance organi- Main Outcome Measures: The proportions of pa- zation (HMO)–sponsored intervention to improve can- tients with a chart-documented mammogram, clinical cer screening in private physician practices serving low- breast examination, Papanicolaou smear, or fecal occult income, minority populations. blood slide test in the 2 years before preintervention and postintervention chart abstractions. Design: A randomized controlled trial with preinter- vention and postintervention measurements. Measure- Results: Between baseline and postintervention, there ments were obtained by abstracting information from in- was a net increase in the proportion of HMO members dependent random samples of medical charts (N = 2316 in the intervention, compared with the control prac- at preintervention and 2238 at postintervention). tices, who received in the preceding 2 years a Papanico- laou smear (11.9%) and a fecal occult blood slide test Setting: Forty-seven primary care physician practices (14.1%). There was a net increase in the proportion of located in low-income and minority urban neighbor- non-HMO patients in the intervention compared with the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Family Medicine American Medical Association

Prescribe for Health

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Publisher
American Medical Association
Copyright
Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
1063-3987
eISSN
1063-3987
DOI
10-1001/pubs.Arch Fam Med.-ISSN-1063-3987-7-4-foc6079
Publisher site

Abstract

ORIGINAL CONTRIBUTION Improving Cancer Screening in Physician Practices Serving Low-Income and Minority Populations Clara Manfredi, PhD; Ronald Czaja, PhD; Sally Freels, PhD; Mitchell Trubitt, MD; Richard Warnecke, PhD; Loretta Lacey, DrPH, RN† Objective: To evaluate a health maintenance organi- Main Outcome Measures: The proportions of pa- zation (HMO)–sponsored intervention to improve can- tients with a chart-documented mammogram, clinical cer screening in private physician practices serving low- breast examination, Papanicolaou smear, or fecal occult income, minority populations. blood slide test in the 2 years before preintervention and postintervention chart abstractions. Design: A randomized controlled trial with preinter- vention and postintervention measurements. Measure- Results: Between baseline and postintervention, there ments were obtained by abstracting information from in- was a net increase in the proportion of HMO members dependent random samples of medical charts (N = 2316 in the intervention, compared with the control prac- at preintervention and 2238 at postintervention). tices, who received in the preceding 2 years a Papanico- laou smear (11.9%) and a fecal occult blood slide test Setting: Forty-seven primary care physician practices (14.1%). There was a net increase in the proportion of located in low-income and minority urban neighbor- non-HMO patients in the intervention compared with the

Journal

Archives of Family Medicine – American Medical Association

Published: Jul 1, 1998

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