The role and the benefits of store‐and‐forward teledermatology in an early detection program of melanoma ‐ a seven‐year study

2020 ◽  
Author(s):  
Ana G. Salvio ◽  
Carla O. L. F. Turini ◽  
Rosemary A. Valentim ◽  
Samanta R. Vomero ◽  
Sergio A. Rodrigues
Keyword(s):  
Early Detection ◽  
Detection Program ◽  
Store And Forward ◽  
Early Detection Program

The Impact of Performance-Based Grants Management on Performance: The Centers for Disease Control and Prevention’s National Breast and Cervical Cancer Early Detection Program

2017 ◽  
Vol 48 (5) ◽  
pp. 444-457 ◽  
Author(s):  
Theodore H. Poister ◽  
Obed Pasha ◽  
Amy DeGroff ◽  
Janet Royalty
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Disease Control ◽  
Performance Management ◽  
Management Process ◽  
Cancer Early Detection ◽  
Breast And Cervical Cancer ◽  
National Breast ◽  
Detection Program ◽  
Early Detection Program

Performance-based grants management is a strategy used by public agencies to improve performance and strengthen accountability by connecting annual award amounts to performance information. This study evaluates the impacts of a performance-based grants management process implemented by the U.S. Centers for Disease Control and Prevention to strengthen the effectiveness of its National Breast and Cervical Cancer Early Detection Program. The study uses panel data and interrupted time-series analysis over 10 years for 51 grantees. Results show partial and conditional effectiveness of the performance-based grants management process in strengthening performance. In particular, the implementation of the performance-based grants management system consistently improved the performance of those grantees for whom the targets were challenging. While prior research has found, in some cases, evidence of a positive impact of performance management practices in improving programs delivered directly by public organizations at the local level, this study examines the performance management–performance relationship in a more challenging context of a federal grants program delivered through a highly decentralized system.

scholarly journals Clinical outcomes of mammography in the National Breast and Cervical Cancer Early Detection Program, 2009–2012

2015 ◽  
Vol 26 (5) ◽  
pp. 723-732 ◽  
Author(s):  
Arica White ◽  
Jacqueline Miller ◽  
Janet Royalty ◽  
A. Blythe Ryerson ◽  
Vicki Benard ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Clinical Outcomes ◽  
Cancer Early Detection ◽  
Breast And Cervical Cancer ◽  
National Breast ◽  
Detection Program ◽  
Early Detection Program

scholarly journals Assessment and Improvement Strategies for a Breast Cancer Early Detection Program in Rural South Africa

2018 ◽  
pp. 1-12 ◽  
Author(s):  
Megan Hadley ◽  
Lisa A. Mullen ◽  
Lindsay Dickerson ◽  
Susan C. Harvey
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Documentation System ◽  
Rural South ◽  
Breast Cancer Early Detection ◽  
Cancer Early Detection ◽  
Detection Program ◽  
Early Detection Program ◽  
Rural South Africa

Purpose To assess and develop solutions for an ultrasound-based breast cancer early detection program in rural South Africa 1 year after implementation. Methods A WHO-endorsed RAD-AID Radiology Readiness Assessment was used to evaluate clinic resources. In addition, 5 weeks of observation identified resource deficiencies and reviewed existing documentation methods. On the basis of stakeholders’ input and the BI-RADS, we developed new documentation systems. Training was followed by a survey that assessed feasibility and provider acceptance. Results Resource limitations included lack of computers, unpredictable electrical supply, and inconsistent Internet. The assessment revealed incomplete documentation of breast clinical examinations and history, breast lesions, and follow-up. Furthermore, limitations negatively affected communication among providers. Three solutions were developed: a paper patient history form, a paper clinical findings form, and a computerized patient-tracking data base compliant with BI-RADS. Three nurses, three nursing assistants, and one counselor completed the survey. Seventy-one percent indicated positive general attitudes, and 100% agreed that the documentation system is easy and useful and improves overall quality of care, follow-up, decision making; access to clinical information; and communication between clinicians and patients. Five of the seven providers reported that the system increased visit time, but three of those five believed that the process was valuable. Conclusion Implementation of a breast cancer early detection program in resource-limited regions is challenging, and continual assessment is essential. As a result of identified needs, we developed a documentation system that was broadly accepted. Future steps should focus on increasing efficiency, evaluation of provider attitudes long term, and clinical effect.

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