Telephone care management to improve cancer screening among low-income women: a randomized, controlled trial.

Annals of Internal Medicine
Allen J DietrichRichard G Younge

Abstract

Minority and low-income women receive fewer cancer screenings than other women. To evaluate the effect of a telephone support intervention to increase rates of breast, cervical, and colorectal cancer screening among minority and low-income women. Randomized, controlled trial conducted between November 2001 and April 2004. 11 community and migrant health centers in New York City. 1413 women who were overdue for cancer screening. Over 18 months, women assigned to the intervention group received an average of 4 calls from prevention care managers and women assigned to the control group received usual care. Follow-up data were available for 99% of women, and 91% of the intervention group received at least 1 call. Medical record documentation of mammography, Papanicolaou testing, and colorectal cancer screening according to U.S. Preventive Services Task Force recommendations. The proportion of women who had mammography increased from 0.58 to 0.68 with the intervention and decreased from 0.60 to 0.58 with usual care; the proportion who had Papanicolaou testing increased from 0.71 to 0.78 with the intervention and was unchanged with usual care; and the proportion who had colorectal screening increased from 0.39 to 0.63 with the interv...Continue Reading

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