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Using Data to Guide the Development and Implementation of a State Cancer Screening Program. Jane E. Korn, MPH, MD & Annette Bar-Cohen, MA, MPH Cancer Control Section, Minnesota Department of Health. Reducing Breast and Cervical Cancer.
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Using Data to Guide the Development and Implementation of a State Cancer Screening Program Jane E. Korn, MPH, MD & Annette Bar-Cohen, MA, MPH Cancer Control Section, Minnesota Department of Health
Reducing Breast and Cervical Cancer • Breast and Cervical Cancer Mortality Prevention Act (Title XV) passed by Congress in 1990 • Minnesota one of first four states funded to plan and implement a statewidebreast and cervical cancer control program
Early Program Goals • Reduce cost barrier to screening • Provide free Pap smears & mammograms • Increase women’s awareness of importance of screening • Professional education • Partnership development with key organizations and advocacy groups
Minnesota Breast and Cervical Cancer Control Program • Priority populations • Women of color • American Indian women • Rural women • Older women
MBCCCP Accomplishments • Statewide provider network with 300 participating providers • Over 67,000 women have received MBCCCP services • 73,000 mammograms • 99,600 Pap smears
MBCCCP Accomplishments • Detection • 501 cases of breast cancer • 33 cases of cervical cancer • 1520 cases of significant cervical dysplasia • Fewer than 2% lost to follow-up
Using Research to Guide Outreach • Friend-to-Friend Project • Funded by the National Cancer Institute • Used social support networks to encourage screening (outreach) • Offered screening to women visiting clinics for other reasons (inreach) • Results: Outreach increased screening by 12%
Using Research to Guide Outreach • Rescreening project • Funded by the Association of Teachers of Preventive Medicine • Used tailored and timely mailings to remind women of the importance of rescreening and the availability of free MBCCCP services • Results: women in the intervention group were more likely to return for a repeat screening (p<.05)
Analyzing the Cost-Effectiveness of Other Outreach Efforts • Televised phone banks • TV promoted MBCCCP services • Operators determined eligibility abd scheduled appointments • Iterative modification of protocols • Results: eligible callers who were subsequently screened rose from 19% to 70% over 3 years
Community Outreach Workers • Funds outreach workers from diverse cultures • Somali • Hmong • Latino • African-American • American Indian • Workers receive close technical assistance
Conclusions • MBCCCP exemplifies the value of integrating research and programming at all stages of programming • Program development • Program implementation • Program improvement • Importance of integration is reflected in the success of MBCCCP