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Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
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Management choices for better outcomes in oncologic screening programmes.
Angela Chiereghin1, Lorena Squillace2, Lorenzo Pizzi2
1Governance of Screening Programmes Unit, Health Management Staff, Local Health Authority of Bologna (Italy); angela.chiereghin@ausl.bologna.it.
Epidemiologia E Prevenzione
|May 21, 2024
Summary
Implementing organizational changes significantly boosted cancer screening participation rates. Strategies included resource optimization and targeted outreach, leading to higher engagement in breast, cervical, and colorectal cancer screenings.
Area of Science:
- Oncology
- Public Health
- Healthcare Management
Background:
- Improving cancer screening participation and follow-up is a significant public health challenge.
- Effective planning and intra-organizational interventions are crucial for enhancing screening programs.
- Previous literature highlights key elements for high-quality healthcare delivery.
Purpose of the Study:
- To evaluate the impact of an intra-organizational intervention on three population-based cancer screening programs (breast, cervical, colorectal).
- To analyze changes in screening participation rates before and after the intervention.
- To identify factors contributing to improved screening program performance.
Main Methods:
- A literature review on high-quality healthcare elements was conducted.
- The PRECEDE-PROCEED model was used as a theoretical framework for improvement strategies.
- Interventions were classified by target: individual, population, health workers, tests, and service management.
- Participation rates in first-level screening tests were analyzed for 2018, 2019, and 2022.
Main Results:
- Key factors driving change included resource optimization, leadership, collaboration, stakeholder engagement, positive work culture, and staff learning.
- Implemented strategies included reminders, media publicity, self-sampling for HPV tests, and increased accessibility.
- A significant increase in screening participation was observed across all three cancer types in 2022 compared to 2018/2019.
- Specifically, participation increased by 3% for breast, 8.5% for cervical, and 4.6% for colorectal cancer screening compared to 2019.
Conclusions:
- The implemented improvement strategies plausibly led to the observed increase in cancer screening participation.
- Continuous performance measurement and feedback are essential for ongoing program enhancement.
- Organizational interventions can effectively improve participation in population-based cancer screening programs.
Keywords:
CommunicationLeadershipOptimization of the processesResource allocationScreening attendance rateStakeholdersMore Related Videos
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