title: Providing and funding breast health services in urban nurse-managed health centers.
abstract: Nurse-managed health centers (NMHCs) are an innovative health care delivery model that serves as an important point of health care access for populations at risk for disparities in health outcomes. This article describes the process and outcomes of clinical breast health services in two NMHCs located in a large Midwestern city. Findings indicate that client's knowledge about breast health was increased after they received breast health services from NMHC nurses. Significant positive changes in behavior related to the early detection of breast cancer were found in the study. NMHCs, identified for expansion in the Patient Protection and Affordable Care Act, offer a unique health care services delivery model that promotes access to care and early identification of breast cancer in very low-income and uninsured women.
authors.affiliation: College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI. Electronic address: tsaip@uwm.edu.
authors.forename: Pei-Yun
authors.initials: PY
authors.lastname: Tsai
authors.affiliation: College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI.
authors.forename: Beth
authors.initials: B
authors.lastname: Peterman
authors.affiliation: College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI.
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Baisch
authors.affiliation: Department of Nursing, Konkuk University, Chungju, South Korea.
authors.forename: Eun Sun
authors.initials: ES
authors.lastname: Ji
authors.affiliation: Planned Parenthood of Wisconsin, Green Bay, WI.
authors.forename: Kelly
authors.initials: K
authors.lastname: Zwiers
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003153:Community Health Services / Q000458:organization & administration*; D019091:Critical Pathways; D005260:Female; D058016:Health Facility Administration; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology; D019037:Urban Health Services / Q000458:organization & administration*; D014932:Women's Health Services / Q000458:organization & administration*; D055815:Young Adult
keywords: Breast cancer screening; Nurse-managed health center