Bastani R, Berman BA, Belin TR, et al. Increasing cervical cancer screening among underserved women in a large urban county health system: can it be done? What does it take? Med Care. 2002;40(10):891-907. Access Abstract
NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, PROVIDER/PRACTICE, Provider Education, Provider Audit/Practice Audit, Quality Improvement/Practice-Wide Intervention, Designated Clinic/Extended Hours
Intervention Description: Evaluation of a 5-year demonstration project testing a multicomponent (provider, system, and patient) intervention to increase cervical cancer screening among women who receive their health care through the Los Angeles County Department of Health Services, the second largest County Health Department in the nation.
Primary Outcomes: Rate of registered Pap smears during the 9 months following the patient’s first clinic visit and entrance into the study
Conclusion: An intensive multicomponent intervention can increase cervical cancer screening in a large, urban, County health system serving a low-income minority population of under screened women.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: Yes
Setting: Los Angeles County Department of Health Services (LACDHS) facilities: 2 large hospitals, 2 feeder Comprehensive Health Centers, and 6 of the health center’s feeder Public Health Centers
Target Audience: Women attending LACDHS facilities
Data Source: Medical records and computerized databases held by the Los Angeles County Department of Health Services
Sample Size: Total (N=18,642) Intervention (n=9,492); Control (n=9,150) Baseline (n=5,249) Year 2 (n=5,470) Year 3 (n=5,365) First 6 months of Year 4 (n=2,558)
Age Range: ≥18