title: The National Breast and Cervical Cancer Early Detection Program in the era of health reform: a vision forward.
abstract: For the last 22 years, the Centers for Disease Control and Prevention (CDC) National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has provided high quality breast and cervical cancer screening to women who do not have health insurance or who have inadequate insurance. As the health care landscape changes, it is time for CDC to address new identified needs and opportunities to increase cancer screening and to further explore new or expanded roles for the program looking to the future. The NBCCEDP is well positioned to build upon its experience, established clinical and community partnerships, and success in serving disadvantaged and diverse populations to address important barriers to cancer screening that will persist as health reform is implemented. Additionally, the program can adapt its extensive experience with establishing and managing an organized system of delivering cancer screening and apply it to promote a more organized approach to screening through health care systems on a population level. Emphasis is placed on the implementation of evidenced-based interventions proven effective in increasing cancer screening rates, promising practices and other organizational policy and health systems interventions.
authors.affiliation: Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Marcus
authors.initials: M
authors.lastname: Plescia
authors.forename: Faye
authors.initials: F
authors.lastname: Wong
authors.forename: Jennifer
authors.initials: J
authors.lastname: Pieters
authors.forename: Djenaba
authors.initials: D
authors.lastname: Joseph
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D055088:Early Detection of Cancer; D005260:Female; D006291:Health Policy; D006801:Humans; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control
keywords: National Breast and Cervical Cancer Early Detection Program; breast cancer; cancer early detection; cancer prevention; cancer screening program; cervical cancer
references.citation: Ethn Health. 2007 Apr;12(2):189-203
references.pmid: 17364901
references.citation: Prev Chronic Dis. 2012;9:E159
references.pmid: 23098646
references.citation: Cancer. 2014 Aug 15;120 Suppl 16:2566-74
references.pmid: 25099899
references.citation: Cancer. 2014 Aug 15;120 Suppl 16:2584-90
references.pmid: 25099901
references.citation: Am J Public Health. 2013 Sep;103(9):1545-8
references.pmid: 23865665
references.citation: J Gen Intern Med. 2014 Jan;29(1):169-75
references.pmid: 24197626
references.citation: N Engl J Med. 2010 Sep 30;363(14):1296-9
references.pmid: 20879876
references.citation: Womens Health Issues. 2002 May-Jun;12(3):122-8
references.pmid: 12015184
references.citation: Cancer Epidemiol Biomarkers Prev. 2011 Dec;20(12):2471-9
references.pmid: 21976292
references.citation: J Natl Med Assoc. 2005 Feb;97(2):162-70
references.pmid: 15712779
references.citation: CA Cancer J Clin. 2012 Jul-Aug;62(4):217-9
references.pmid: 22573193
references.citation: Gastrointest Endosc. 2011 Mar;73(3):429-34
references.pmid: 21353839
references.citation: Cancer. 2014 Aug 15;120 Suppl 16:2575-83
references.pmid: 25099900