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Arch Pathol Lab Med ; 140(12): 1411-1422, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27922769

RESUMO

CONTEXT: - See, Test & Treat is a pathologist-driven program to provide cervical and breast cancer screening to underserved and underinsured patient populations. This program is largely funded by the CAP Foundation (College of American Pathologists, Northfield, Illinois) and is a collaborative effort among several medical specialties united to address gaps in the current health care system. OBJECTIVE: - To provide an outline for administering a See, Test & Treat program, using an academic medical center as a model for providing care and collating the results of 5 years of data on the See, Test & Treat program's findings. DESIGN: - Sources include data from patients seen at Tufts Medical Center (Boston, Massachusetts) who presented to the See, Test & Treat program and institutional data between 2010 and 2014 detailing the outline of how to organize and operationalize a volunteer cancer-screening program. RESULTS: - During the 5-year course of the program, 203 women were provided free cervical and breast cancer screening. Of the 169 patients who obtained Papanicolaou screening, 36 (21.3%) had abnormal Papanicolaou tests. In addition, 16 of 130 patients (12.3%) who underwent mammography had abnormal findings. CONCLUSIONS: - In general, women from ethnic populations have barriers that prevent them from participating in cancer screening. However, the CAP Foundation's See, Test & Treat program is designed to reduce those barriers for these women by providing care that addresses cultural, financial, and practical issues. Although screening programs are helpful in identifying those who need further treatment, obtaining further treatment for these patients continues to be a challenge.


Assuntos
Neoplasias da Mama/diagnóstico , Assistência à Saúde Culturalmente Competente , Programas de Rastreamento , Assistência Médica , Patologia Clínica/métodos , Guias de Prática Clínica como Assunto , Neoplasias do Colo do Útero/diagnóstico , Centros Médicos Acadêmicos , Adulto , Idoso , Boston , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/economia , Assistência à Saúde Culturalmente Competente/economia , Feminino , Seguimentos , Humanos , Mamografia/economia , Programas de Rastreamento/economia , Assistência Médica/economia , Área Carente de Assistência Médica , Pessoas sem Cobertura de Seguro de Saúde , Pessoa de Meia-Idade , Teste de Papanicolaou/economia , Patologia Clínica/economia , Patologia Clínica/tendências , Sociedades Médicas , Neoplasias do Colo do Útero/economia , Neoplasias do Colo do Útero/patologia , Esfregaço Vaginal/economia , Voluntários , Populações Vulneráveis , Recursos Humanos , Adulto Jovem
4.
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