Translation of an Efficacious Cancer-Screening Intervention to Women Enrolled in a Medicaid Managed Care Organization
Ann Fam Med Dietrich et al.
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The Article in Brief
Translation of an Efficacious Cancer-Screening Intervention to Women Enrolled in a Medicaid Managed Care Organization
Allen J. Dietrich, MD, and colleagues
Background In an earlier study, called Prevention Care Management (PCM), women who received health care from federally funded Community Health Centers and were not up-to-date for breast, cervical, or colorectal cancer screening, received reminder telephone calls and other assistance from trained telephone staff. The current study explores whether a streamlined version of PCM is effective when offered through a Medicaid managed care organization.
What This Study Found The modified Prevention Care Management program can be implemented and modestly improves cancer screening rates. Women in the modified PCM program were 1.69 times more likely to be up-to-date for colorectal cancer screening tests than women in a comparison group. Screening rates for cervical and breast cancer did not differ significantly between the groups.
Implications
- Like the original Prevention Care Management program, the streamlined study increases cancer screening. This finding suggests that a telephone care management program for cancer screening can be translated to a real-world setting.
- This approach has the potential to improve cancer-screening rates in settings that can provide telephone support to women known to be overdue for cancer screening.
