 |
|
Continuity of Care and the Use of Breast and Cervical Cancer Screening Services in a Multiethnic Community
Ann S. O'Malley, MD, MPH;
Jeanne Mandelblatt, MD, MPH;
Karen Gold, PhD;
Kathleen A. Cagney, MA;
Jon Kerner, PhD
Arch Intern Med. 1997;157(13):1462-1470.
Abstract
Objective
To examine how continuity of care affects the use of breast and cervical cancer screening in a multiethnic population.
Methods
All data came from a structured telephone survey of a population-based quota sample designed to determine the cancer prevention needs of multiethnic blacks and Hispanics in New York, NY, in 1992. The study included 1420 women of 7 racial/ethnic groups: US-born blacks, English-speaking Caribbean-born blacks, Haitian blacks, and Puerto Rican, Dominican, Colombian, and Ecuadorian Hispanics. The main outcome measures were ever and recently having had a Papanicolaou smear, clinical breast examination (CBE), or mammogram.
Results
Among respondents who qualified for the survey on the basis of age and ethnicity, the refusal rate for completing the interview was 2.1%. Compared with women without a usual site of care, those with a usual site, but no regular clinician, were 1.56, 2.45 (P .01), and 2.32 (P.05) times as likely ever to have received a Papanicolaou smear, CBE, or mammogram, respectively, and 1.84, 1.92 (P.05), and 1.75 times as likely to have received a recent Papanicolaou smear, CBE, or mammogram, respectively. Compared with women without a usual site of care, women with a regular clinician at that usual site of care were 2.63 (P.01), 2.83 (P.01), and 2.30 (P.05) times as likely ever to have received a Papanicolaou smear, CBE, or mammogram, and were 2.00 (P.05), 2.65 (P.01), and 1.40 times as likely to have recently received a Papanicolaou smear, CBE, or mammogram, respectively (adjusted odds ratios). For uninsured women, presence of a usual site of care was associated with increases in recent use of cancer screening for all screening tests.
Conclusions
There is a linear trend in increasing breast and cervical cancer screening rates when one goes from having no usual source of care, to having a usual source, and to having a regular clinician at that usual source. Emphasis on continuity of care, especially on usual source of care, may help to bridge the gap in access to cancer prevention services faced by minority women.
Arch Intern Med. 1997;157:1462-1470
Author Affiliations
From the Clinical Economics Research Unit (Dr O'Malley) and Division of Cancer Prevention and Control (Drs Mandelblatt, Gold, and Kerner), Georgetown University Medical Center, Washington, DC; Department of Epidemiology and Preventive Medicine, University of Maryland Medical Center, Baltimore (Dr O'Malley); and Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Md (Ms Cagney).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Treatment Patterns Among Medicaid-Eligible Women With Breast Cancer in Georgia: Are Patterns Different Under the Breast and Cervical Cancer Prevention and Treatment Act?
Adams et al.
J Oncol Pract 2012;8:46-52.
ABSTRACT
| FULL TEXT
A Longitudinal Examination of Continuity of Care and Avoidable Hospitalization: Evidence From a Universal Coverage Health Care System
Cheng et al.
Arch Intern Med 2010;170:1671-1677.
ABSTRACT
| FULL TEXT
Primary Care: A Critical Review Of The Evidence On Quality And Costs Of Health Care
Friedberg et al.
Health Aff (Millwood) 2010;29:766-772.
ABSTRACT
| FULL TEXT
The relationship between continuity and patient satisfaction: a systematic review
Adler et al.
Fam Pract 2010;27:171-178.
ABSTRACT
| FULL TEXT
Organizational Factors and the Cancer Screening Process
Anhang Price et al.
J Natl Cancer Inst Monogr 2010;2010:38-57.
ABSTRACT
| FULL TEXT
Continuity of Outpatient and Inpatient Care by Primary Care Physicians for Hospitalized Older Adults
Sharma et al.
JAMA 2009;301:1671-1680.
ABSTRACT
| FULL TEXT
Patient-Physician Connectedness and Quality of Primary Care
Atlas et al.
ANN INTERN MED 2009;150:325-335.
ABSTRACT
| FULL TEXT
Information exchange among physicians caring for the same patient in the community
van Walraven et al.
CMAJ 2008;179:1013-1018.
ABSTRACT
| FULL TEXT
Women's participation in a cervical cancer screening program in northern Peru
Winkler et al.
Health Educ Res 2008;23:10-24.
ABSTRACT
| FULL TEXT
Racial and Ethnic Disparities in Breast Cancer Mortality: Are We Doing Enough to Address the Root Causes?
Blackman and Masi
JCO 2006;24:2170-2178.
ABSTRACT
| FULL TEXT
Interpersonal Continuity of Care and Care Outcomes: A Critical Review
Saultz and Lochner
Ann Fam Med 2005;3:159-166.
ABSTRACT
| FULL TEXT
Defining and Measuring Interpersonal Continuity of Care
Saultz
Ann Fam Med 2003;1:134-143.
ABSTRACT
| FULL TEXT
Continuity of Care and Recognition of Diabetes, Hypertension, and Hypercholesterolemia
Koopman et al.
Arch Intern Med 2003;163:1357-1361.
ABSTRACT
| FULL TEXT
Effectiveness of Interventions to Increase Papanicolaou Smear Use
Yabroff et al.
J Am Board Fam Med 2003;16:188-203.
ABSTRACT
| FULL TEXT
Early Detection Measures for Cancer in Family Caregivers of Minority Women: An Educational Program
Youssef and Kawar
Home Health Care Management Practice 2003;15:215-221.
ABSTRACT
Screening Mammography: Clinical Image Quality and the Risk of Interval Breast Cancer
Taplin et al.
Am. J. Roentgenol. 2002;178:797-803.
ABSTRACT
| FULL TEXT
Efficacy of Systemic Adjuvant Therapy for Breast Cancer in African-American and Caucasian Women
Dignam
J Natl Cancer Inst Monogr 2001;2001:36-43.
ABSTRACT
| FULL TEXT
Continuity of Care: A Reconceptualization
Donaldson
Med Care Res Rev 2001;58:255-290.
ABSTRACT
Glycemic Control in English- vs Spanish-Speaking Hispanic Patients With Type 2 Diabetes Mellitus
Lasater et al.
Arch Intern Med 2001;161:77-82.
ABSTRACT
| FULL TEXT
Interventions Targeted toward Patients to Increase Mammography Use
Yabroff and Mandelblatt
Cancer Epidemiol. Biomarkers Prev. 1999;8:749-757.
ABSTRACT
| FULL TEXT
New Developments in Family Medicine
Bowman and Nicklin
JAMA 1998;279:1437-1438.
FULL TEXT
|
