The Community Health Improvement Process for Montgomery County, Maryland
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spacer.gif CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket CostsCdc spacer.gif
 
Ranking Evidence-Based Practice
Description Interventions to reduce client out-of-pocket costs attempt to minimize or remove economic barriers that make it difficult for clients to access cancer screening services. Costs can be reduced through a variety of approaches, including vouchers, reimbursements, reduction in co-pays, or adjustments in federal or state insurance coverage. Efforts to reduce client costs may be combined with measures to provide client education, information about program availability, or measures to reduce structural barriers.

The Community Preventive Services Task Force recommends reducing client out-of-pocket costs for breast cancer screening on the basis of sufficient evidence of effectiveness in increasing screening for breast cancer.
Results / Accomplishments Results from the Systematic Reviews
Breast Cancer:
Eight studies qualified for the original systematic review; no new studies were identified for the update.
• Mammography screening: median increase of 11.5 percentage points (interquartile interval [IQI]: 6.0-28.5; 8 studies).
• Six studies evaluated the extension of Medicare or state benefits to cover periodic mammography and two assessed the use of free client vouchers.
• Findings should be applicable to various populations and settings in which people would accept screening but have limited financial resources.

Cervical Cancer:
One study qualified for the original systematic review; no new studies were identified for the update.
• Pap tests: reported increase of 17 percentage points

Colorectal Cancer:
No studies qualified for the review.
Categories Health / Cancer
Source Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location Country: USA
Primary Contact communityguide@cdc.gov
For more details http://www.thecommunityguide.org/index.html

http://www.thecommunityguide.org/cancer/screeni...
Target Audience Adults
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