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Improving Female Preventive Health Care through Practice Change by Backer et al - Article Example

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The author of the paper "Improving Female Preventive Health Care through Practice Change by Backer et al." will attempt to evaluate and present recommendations for improving every woman matters program and best practices on cancer screening…
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Improving Female Preventive Health Care through Practice Change by Backer et al
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Download file to see previous pages Every Woman Matters (EWM) is a state-operated but federally funded program promoting preventive breast and cervical cancer screening (Backer, Geske, Mcllvain, Dadendorf & Minier, 2005).  According to the authors, the strategy chosen by EWM has been to raise awareness of the risk of breast and cervical cancers and make the program financially accessible to low-income women. According to the authors, “eligible women receive clinical breast examination, mammography, and a Papanicolaou smear test at reduced or no cost” (Backer et al., 2005, p. 401). The authors noted however that despite the reduced or no cost access to the program, “the level breast and cervical cancer screening falls short of the ideal” (Backer et al., 2005, p. 401).  As a result, the program was examined using the GAPs model with GAPS standing for “goal-setting, assessing existing routines, planning the modification of routines, and providing support for these improvements” (Backer et al., 2005, p. 402).  The authors described the study as multi-method: a qualitative study design was used to describe the process of changes that took place in the implementation of the program while quantitative audits on mammogram and Papanicolaou test data were used to measure the success that was assumed to be related with the practice. The data that was used to assess the program involved observational field notes, audio-taped interviews with physicians and key staff, and chart reviews of the last female patients from 19 to 64 found in the clinic.
Backer et al. (2005) led respondents to identify potential reforms in the EWM that can improve screening rates and advance key reforms that must be instituted in the program. Respondents identified several initiatives that may improve screening rates. Firstly, it was suggested that a “summary of chare” chart that can make it easier to identify patients in need of screening. Secondly, it was proposed that a postcard system be developed to encourage patients who had undergone the screening program elsewhere to continue the screening program in their current location. Thirdly, it was suggested that the patient educational materials be more readily available. Fourthly, it was raised that the program creates a monthly computer-generated reminders for patients needing screening. Fifthly, it was proposed that a reminder system for patients be designed. Sixthly, it was recommended that a common fact sheet for all health providers be used. Finally, the recommendations were forwarded to increase the accessibility of the patient educational materials. Although these are the most practical recommendations of the research activity reported by Backer et al. (2005) in the discussion section of their papers, the authors focused on the theoretical aspects of their research initiative. In particular, Backer et al. (2005) stressed that their findings “support the concept of practices as unique, complex organizational systems” which may be hardly immediately relevant for the immediate and more important concern of improving clinical or public health strategies; improving strategies and service delivery to promote preventive breast and cervical cancer screening.  ...Download file to see next pagesRead More
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