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Published, Version of Record (VoR)CC BY-NC-ND V4.0, Open
Journal article
Improving Cervical Cancer Screening in Hospital Settings
Preventive medicine, Vol.31(5), pp.538-546
Nov 2000
PMID: 11071834
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Identifying opportunities to offer cervical cancer screening to underscreened women is important for increasing early detection. Maryland law mandates offering Pap tests during hospital admissions. We examined organizational and physician attitudes and practices regarding inpatient screening, to identify mechanisms for increasing the law's effectiveness.
Methods: We analyzed state admission data, a hospital administrators telephone survey, and a mailed survey of Maryland primary and specialty care physicians, to identify overall patterns and subgroup differences regarding screening.
Results: Overall, we found significant concern regarding cancer, and evidence of policies and procedures for screening. However, most hospitals and providers offered screening without assessing clinical need or including persuasive recommendations. Providers with significantly less engagement in preventive assessment and screening included medical and surgical subspecialists and non-primary care providers. Providers to African-American and Medical Assistance women were also less likely to have knowledge, attitudes, and practices conducive to inpatient screening.
Conclusions: Adequate support and infrastructure for preventive screening exist within hospitals. Adding clinical assessment and persuasive education could in crease the impact of these mechanisms, and improve prevention among underscreened inpatient populations.
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Details
- Title
- Improving Cervical Cancer Screening in Hospital Settings
- Creators
- Ann Klassen - Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MarylandAllyson Hall - United Hospital Fund, New York, New YorkJanice Bowie - Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MarylandCarol S Weisman - Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan
- Publication Details
- Preventive medicine, Vol.31(5), pp.538-546
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Identifiers
- 991014878097304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health