Case management in public health screening programs: the experience of the national breast and cervical cancer early detection program.
This article describes a large public health screening program's early experience in adding case management as a formal program component. The results demonstrate that state and tribal programs participating in the National Breast and Cervical Cancer Early Detection Program have implemented a variety of organizational models for case management of women with abnormal screening results. Programs have different approaches to staffing and reimbursement of case management services, yet most programs have implemented a "patient navigator" or "medical" model of case management service delivery. Although a number of challenges were identified, a clear and positive finding is that case managers are playing an integral role in the transition between a cancer diagnosis through the program and enrollment in Medicaid for treatment services through the National Breast and Cervical Cancer Prevention and Treatment Act of 2000.
Lantz
Paula M
PM
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA. plantz@umich.edu
Keeton
Kristie
K
Romano
Leah
L
Degroff
Amy
A
D001943:Breast Neoplasms / Q000175:diagnosis*; D019090:Case Management / Q000458:organization & administration*; D002487:Centers for Disease Control and Prevention, U.S.; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration*; D008484:Medicaid; D017146:Models, Organizational; D020380:Needs Assessment; D015397:Program Evaluation; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*