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The Breast Cancer Screening Program in Rhode Island.

H D Scott, B A DeBuono, J P Fulton

    Journal of Public Health Policy
    |January 1, 1992
    PubMed
    Summary

    The Rhode Island Department of Health

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    Area of Science:

    • Public Health
    • Health Services Research

    Background:

    • The Rhode Island Department of Health initiated a Breast Cancer Screening Program.
    • The program followed the Institute of Medicine (IOM) model for public health functions.
    • Key challenges included increasing screening capacity, accessibility, and public awareness while minimizing false results.

    Purpose of the Study:

    • To implement and evaluate a comprehensive Breast Cancer Screening Program.
    • To increase mammography screening rates among women aged 40 and over.
    • To assess the impact of the program on screening uptake and identify factors influencing first-time screening.

    Main Methods:

    • Utilized a public health model incorporating assessment, policy development, and assurance.
    • Implemented projects to enhance screening capacity, accessibility, and public outreach.
    • Monitored screening rates and analyzed factors associated with first-time mammograms.

    Main Results:

    • Mammography screening rates for women aged 40+ increased from 35% to 46% in 15 months.
    • Significant increases observed across age subgroups (40-49 and 50+).
    • 15% of women received their first screening mammogram; provider recommendations were key.

    Conclusions:

    • The Breast Cancer Screening Program successfully increased mammography utilization.
    • The IOM public health model is effective for improving cancer screening services.
    • The Department plans to expand this model to other health program areas.

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