Managed care organizations and mammography: opportunities to serve underserved women.
Breast cancer is one of the major causes of mortality and morbidity among women. Breast cancer screening (mammography) has been shown to be an effective preventive service. Significant proportions of women for whom mammography would be an appropriate intervention, especially older, low-income, and minority women, do not receive it. A large proportion of American women (including those in the workforce or who are Medicare and Medicaid beneficiaries) is now enrolled in managed care plans and that trend is likely to continue. Analysts have identified several concerns related to access and use of preventive services by low-income and other vulnerable populations. Research related to these concerns is summarized. Many research-based interventions have been identified that increase the likelihood of women receiving mammography. These are summarized and recommendations are made for managed care organizations to implement them.
Reid
W M
WM
Department of Health Policy and Management, College of Public Health, University of South Florida, Tampa 33612, USA.
Marshburn
J
J
Siddharthan
K
K
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008329:Managed Care Programs / Q000458:organization & administration*; D008875:Middle Aged; D008913:Minority Groups; D011203:Poverty; D014481:United States / Q000453:epidemiology; D014932:Women's Health Services