Cancer Screening Programs Term Paper

Length: 5 pages Sources: 2 Subject: Healthcare Type: Term Paper Paper: #45816888 Related Topics: Cancer, Mammography, Colon Cancer, Prostate Cancer
Excerpt from Term Paper :

Promoting Positive Health Behaviors

Evaluating the Every Woman Matters program and other cancer screening programs

Cancer rates continue to escalate in the U.S.: cancers of the breast, cervical, prostate, and colon are on the rise and despite improvements in screening and treatment, early detection efforts must be improved to reduce healthcare costs as well as to promote healthier lifestyles. Particularly amongst the very poor, screening for cancers is problematic. Often there is a lack of education and access to venues for screening and the poor do not have the financial resources to take time off from work to see physicians for non-emergency care. With these factors in mind, a number of pilot programs have been instituted to expand access to cancer screening for high-risk populations.

Every Woman Matters (EWM)

The Every Woman Matters program was designed to improve the health of low-income woman through increasing access to breast and cervical cancer screening, both of which have been linked to significantly improving positive health outcomes for women. "Eligible women receive a clinical breast examination, mammography, and Papanicolaou smear test at reduced or no cost" (Backer et al. 2005: 401). A qualitative study by Backer (et al. 2005) conducted studies of seven different practice settings offering such services as part of the EWM. All practices that were part of the study set different health-related goals. However, due to a failure of administrative support and physician follow-through, a minority of the participating practices realized their objectives. Overall, the EWM program was determined to be a failure.

According to the results, in Practice 1, "the staff displayed an ability to work as a cooperative team toward goals that they saw as benefiting both themselves and the practice. This was due in large part to the office manager who led the effort, despite a lack of physician leadership" (Backer et al. 20005: 403). But in Practice 2, the physician's staff did not share his enthusiasm for primary care. There was tension between the hospital that owned the practice and clinic staff regarding


In Practice 3, administrative problems stymied care delivery because the nurse manager was overwhelmed. Her responsibilities exceeded her capabilities "and her managerial and leadership skills were underdeveloped" (Backer et al. 2005: 404). This practice also failed to meet its goals.

Interestingly enough, in Practice 4: "The practicing physician's behavior changed very little and he was minimally involved with the change plan. The support staff (primarily the clinic manager) embraced the plan for change with enthusiasm and efficiency, from its development to final implementation" and the practice was successful in meeting its goals (Backer et al. 2005: 405). The lack of physician involvement was less significant than the staff's commitment. However, Practice 5's example showed how a physician's poor leadership could actually inhibit the achievement of meaningful goals. In this instance, the physician's chronic tardiness when seeing patients resulted in a backlog: combined with poor leadership, this became a prescription for disaster. The physician was enthusiastic but disorganized and preventative care was not clearly articulated as a priority (Backer 2005: 405). Practice 6, in contrast, was stymied by the unproductive relationship between the nurse manager and the physician. Once again a failure of leadership and miscommunication resulted in improper care delivery. In Practice 7, although progress had been made in reaching goals, "the office manager and staff passively resisted any efforts to include them in the change plan. The lead physician, although unwilling to drop out of the project, did little to encourage or facilitate staff participation" (Backer 2005: 406).

Although the practices had somewhat different goals and levels of success, certain unifying themes were evident between all seven. Those which were most successful had a 'champion' or a single figure who was instrumental in promoting the success of the venture. Unsuccessful practices, in contrast, had little leadership or leadership dominated by persons who were resistant to change. There had to be a strong sense of vision and mission to create teamwork. Overall, the support staff was more critical than physicians in terms of acting as architects of change (Backer 2005: 406). Newer and less focused practices changed to a greater extent than did those…

Sources Used in Documents:


Backer, E. (et al. 20005). Improving female preventive health care delivery through practice change: An every woman matters study Journal of American Board Family Practice,

18:401 -- 8.

Black corals: A gem of a cancer screening program in South Carolina. (2012). The Community

Guide. Retrieved from:

Cite this Document:

"Cancer Screening Programs" (2014, December 31) Retrieved January 17, 2022, from

"Cancer Screening Programs" 31 December 2014. Web.17 January. 2022. <>

"Cancer Screening Programs", 31 December 2014, Accessed.17 January. 2022,

Related Documents
New Breast Cancer Screening Guidelines
Words: 2607 Length: 8 Pages Topic: Healthcare Paper #: 97455247

Dr. Robb-Nicholson's data best supports the scenario that more incidents of breast cancer will be discovered due to the reduced number of screenings that the new guidelines suggest. According to the numbers she gives, the mortality rate for breast cancer decreases every year and this decrease can be attributed to the previous screening guidelines. She writes that the USPSTF has based the new guidelines on statistics rather than clinical data

Cancer Center Registries the Number of Cancer
Words: 687 Length: 2 Pages Topic: Healthcare Paper #: 41235061

Cancer Center Registries The number of cancer deaths around the world has been calculated to be approximately four million each year with an overall incidence rate of 143 per 100,000 people per year. At both the national and community level, cancer registration schemes are essential to research into the nature and causation of cancer, to the preparation of health service resources and cancer control programs, and to the evaluation of their

Nursing Bowel Cancer Discuss the
Words: 1581 Length: 5 Pages Topic: Family and Marriage Paper #: 46486825

The nurse would need to explain the FOBT process along with what the results of this test would indicate. It would need to be explained that if the test were to come back positive then there would be a need to undergo diagnostic testing in order to determine what is really going on. The process of a colonoscopy would need to be explained in detail. The nurse would need to

Health Concerns Involving Breast Cancer
Words: 1100 Length: 3 Pages Topic: Health Paper #: 66435666

Breast cancer forms the second largest cause of deaths from cancer in American women. In the year 2015, roughly 232,000 women, mostly between 55 and 64 years of age, showed positive cancer diagnoses, with 40,000 succumbing to the disease. The median breast cancer-linked mortality age is 68 years. The US PSTF (Preventive Services Task Force) advises all females aged between 50 and 74 years to undergo screening mammography once every

Factors in Determining Scope of Disease Screening
Words: 613 Length: 2 Pages Topic: Sports - Women Paper #: 67602838

Screening There are several criteria that can go into a decision to initiate screening for a disease. The disease that I have chosen as an example is colorectal cancer. The prevalence of the disease is one factor. Diseases with a relatively high prevalence are more likely to require screening, as mass screening for rare diseases is not necessarily a good use of funds.. Other consideration is the availability of reliable tests.

Cancer Drug Development Economic Issues Special Health
Words: 1177 Length: 4 Pages Topic: Disease Paper #: 53476587

Cancer Drug Development Economic issues Special health needs Process (decision, steps) involved in program Benefits of program Cancer is amongst fatal diseases that involve abnormal growth of body cells resulting is unusual growth and division of cells. The result is tumor formation effecting one particular or many parts of the body. Since there is high probability of cancer cells invading the neighboring tissues of body parts, early detection and careful treatment of cancer is deemed