Navigating Under-served Women to Better Breast Health: A national model for health disparity policy development
Methods: Through a cooperative partnership between the Methodist Le Bonheur Healthcare System and West Cancer Center, we utilized the Congregational Health Network (CHN) and a Community Outcome and Relations Coordinator (CORC) to seamlessly transition participants from the community to the clinic. The CHN is comprised of 8 patient navigators and over 600 trained liaisons.
Results: From September 2014 to January 2015, 559 eligible women were initially contacted. 325 women have been screened—222 screening and 103 diagnostic mammograms. Our estimated adherence rate (patients who showed interest who obtained a screening exam) was 82%. This resulted in a 5.8% call back biopsy rate (19/325), 15 of which have been completed. Two malignant lesions have been detected. 152 patients were still pending call back for screening. 67% of women were black, 29% Hispanic and 1% white. 77% of women were between the ages of 40-60 years.
Conclusion: We have described and successfully replicated a community-based outreach model for breast cancer navigation.
Learning Areas:Administer health education strategies, interventions and programs
Administration, management, leadership
Advocacy for health and health education
Diversity and culture
Provision of health care to the public
Public health or related research
Demonstrate a successful implementation of a community-based outreach model for reducing breast cancer mortality disparity. Explain the benefits of using a peer-reviewed template and evaluation of community-based outreach. Compare results of the model which was used among the under-served in Chicago, IL and replicated in Memphis, TN where breast cancer mortality disparity is the highest in the nation.
Keyword(s): Cancer and Women’s Health, Health Disparities/Inequities
Qualified on the content I am responsible for because: I have been the principal or co-principal investigator for grants awarded for breast cancer disparity reduction. My academic interests include health services research, healthcare decision support, quantitative methods and health disparity reduction. I have academic appointments at the University of Memphis School of Public Health, University of Illinois School of Public Health and the University of Tennessee Health Sciences Medical School, Department of Preventive Medicine.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.