Keywords

breast cancer screening, cancer prevention and control, case management, cervical cancer screening, prevention research, program evaluation

 

Authors

  1. Lantz, Paula M. PhD
  2. Keeton, Kristie MD, MPH
  3. Romano, Leah MPH
  4. DeGroff, Amy MPH

Abstract

This article describes a large public health screening program's early experience in adding case management as a formal program component. The results demonstrate that state and tribal programs participating in the National Breast and Cervical Cancer Early Detection Program have implemented a variety of organizational models for case management of women with abnormal screening results. Programs have different approaches to staffing and reimbursement of case management services, yet most programs have implemented a "patient navigator" or "medical" model of case management service delivery. Although a number of challenges were identified, a clear and positive finding is that case managers are playing an integral role in the transition between a cancer diagnosis through the program and enrollment in Medicaid for treatment services through the National Breast and Cervical Cancer Prevention and Treatment Act of 2000.