Allen J. Dietrich, MD; Jonathan N. Tobin, PhD; Andrea Cassells, MPH; Christina M. Robinson, MS; Mary Ann Greene, MS; Carol Hill Sox, Engr; Michael L. Beach, MD, PhD; Katherine N. DuHamel, PhD; Richard G. Younge, MD, MPH
Acknowledgments: The authors thank Joseph P. Addabbo Family Health Center, Bedford Stuyvesant Family Health Center, Betances Health Center, Brownsville Multi-Service Family Health Center, East Harlem/Boriken Community Health Center, Family Physician Health Center, Montefiore Medical Group and Comprehensive Family Care Center, Morris Heights Community Health Center, Park Ridge Health Center, Ryan-NENA Community Health Center, Sunset Park Family Health Center Network, Urban Health Plan, and William F. Ryan Community Health Center.
Grant Support: By the National Cancer Institute (R01 CA-87776).
Potential Conflicts of Interest: None disclosed.
Requests for Single Reprints: Allen J. Dietrich, MD, Department of Community and Family Medicine, Dartmouth Medical School, 7250 Strasenburgh Hall, Hanover, NH 03755; e-mail, Allen.J.Dietrich@dartmouth.edu.
Current Author Addresses: Dr. Dietrich, Ms. Robinson, Ms. Greene, and Ms. Sox: Dartmouth Medical School, 7250 Strasenburgh Hall, Hanover, NH 03755.
Dr. Tobin and Ms. Cassells: Clinical Directors Network, Inc., 5 West 37th Street, 10th Floor, New York, NY 10018.
Dr. Beach: Department of Anesthesiology, Dartmouth Medical School, HB7900, Hanover, NH 03755.
Dr. DuHamel: Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1130, New York, NY 10029.
Dr. Younge: Montefiore Medical Group, 1 Fordham Plaza, Bronx, NY 10458.
Author Contributions: Conception and design: A.J. Dietrich, J.N. Tobin, C.H. Sox, K.N. DuHamel, R.G. Younge.
Analysis and interpretation of the data: A.J. Dietrich, J.N. Tobin, C.M. Robinson, M.A. Greene, M.L. Beach, K.N. DuHamel.
Drafting of the article: A.J. Dietrich, J.N. Tobin, C.M. Robinson, M.A. Greene, M.L. Beach.
Critical revision of the article for important intellectual content: A.J. Dietrich, J.N. Tobin, C.M. Robinson, C.H. Sox, K.N. DuHamel, R.G. Younge.
Final approval of the article: A.J. Dietrich, J.N. Tobin, A. Cassells, C.M. Robinson, M.A. Greene, C.H. Sox, M.L. Beach, K.N. DuHamel, R.G. Younge.
Provision of study materials or patients: A. Cassells.
Statistical expertise: J.N. Tobin, M.L. Beach.
Obtaining of funding: A.J. Dietrich, J.N. Tobin, A. Cassells.
Administrative, technical, or logistic support: A.J. Dietrich, J.N. Tobin, A. Cassells, C.M. Robinson, M.A. Greene, C.H. Sox.
Collection and assembly of data: A. Cassells, M.A. Greene.
Dietrich AJ, Tobin JN, Cassells A, Robinson CM, Greene MA, Sox CH, et al. Telephone Care Management To Improve Cancer Screening among Low-Income Women: A Randomized, Controlled Trial. Ann Intern Med. 2006;144:563-571. doi: 10.7326/0003-4819-144-8-200604180-00006
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Published: Ann Intern Med. 2006;144(8):563-571.
Higher screening rates for breast, cervical, and colorectal cancer could reduce cancer mortality rates substantially (1-4). Current cancer screening rates are particularly disappointing among ethnic minorities and individuals with low socioeconomic status (5, 6) who often present with late-stage diagnoses (7) and have high mortality rates (8, 9).
Interventions to increase cancer screening have shown limited sustainability and effect on health care disparities. A previous study showed that an office systems approach, which used a medical record flowsheet and practice teamwork, increased screening rates by 20% to 33% in small rural community practices (10); however, a similar intervention was less effective in larger urban practices (11). An office intervention in low-income settings in Florida increased mammography use and home fecal occult blood testing at 12 months (12), but rates decreased substantially after research support ended (13).
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Hematology/Oncology, Cancer Screening/Prevention, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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