Pub Date : 2004-11-01DOI: 10.1097/00124784-200411001-00015
A. Hinman, K. Saarlas, D. Ross
In both the medical care and public health arenas, a variety of information systems have been developed to serve providers and program managers. In general, these systems have not been designed to share information with other information systems and provide comprehensive information about a child's health status to the information user. A number of initiatives are underway to develop integrated information systems. In December 2003, All Kids Count hosted an invitational conference "Developing Child Health Information Systems to Meet Medical Care and Public Health Needs." Through a series of plenary presentations and breakout discussion groups, participants developed a series of recommendations about governance, economic issues, information infrastructure, and uses of information from integrated child health information systems (CHIS). Common threads in the recommendations were: (1) development of a national coalition of stakeholders to promote integration of separate child health information systems within the context of ongoing national initiatives such as the National Health Information Infrastructure and the Public Health Information Network, (2) the need to develop the business and policy cases for integrated CHIS, (3) the need to develop agreement on standards for collecting and transferring information, and (4) the need to get the word out about the importance of integrating separate CHIS to improve health and health services.
{"title":"A vision for child health information systems: developing child health information systems to meet medical care and public health needs.","authors":"A. Hinman, K. Saarlas, D. Ross","doi":"10.1097/00124784-200411001-00015","DOIUrl":"https://doi.org/10.1097/00124784-200411001-00015","url":null,"abstract":"In both the medical care and public health arenas, a variety of information systems have been developed to serve providers and program managers. In general, these systems have not been designed to share information with other information systems and provide comprehensive information about a child's health status to the information user. A number of initiatives are underway to develop integrated information systems. In December 2003, All Kids Count hosted an invitational conference \"Developing Child Health Information Systems to Meet Medical Care and Public Health Needs.\" Through a series of plenary presentations and breakout discussion groups, participants developed a series of recommendations about governance, economic issues, information infrastructure, and uses of information from integrated child health information systems (CHIS). Common threads in the recommendations were: (1) development of a national coalition of stakeholders to promote integration of separate child health information systems within the context of ongoing national initiatives such as the National Health Information Infrastructure and the Public Health Information Network, (2) the need to develop the business and policy cases for integrated CHIS, (3) the need to develop agreement on standards for collecting and transferring information, and (4) the need to get the word out about the importance of integrating separate CHIS to improve health and health services.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130707636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-11-01DOI: 10.1097/00124784-200311001-00007
Jay R. Desai, L. Solberg, Cynthia K Clark, Laurel Reger, Teresa Pearson, Donald B. Bishop, Martha Roberts, Russ Sniegowski, P. O’Connor
The project improving Diabetes Care through Empowerment, Active Collaboration and Leadership (IDEAL) is a collaborative translational research project of the Minnesota Diabetes Program (MDP) at the Minnesota Department of Health and HealthPartners (HP), a large managed care organization. The research was designed to test a quality improvement model to improve diabetes care delivery and outcomes in primary care clinics, but the collaboration was structured from the beginning to maximize potential secondary effects. The MDP and HP participated jointly in every aspect of the project. Personnel from other health care systems and academic and quality improvement organizations also participated in IDEAL. Secondary effects included heightened priority for diabetes care improvement at HP and within its medical group, along with an increased emphasis on a population approach for both of these organizations. Simultaneously, the MDP developed a better understanding of the issues and potential for improving care in primary care clinics, medical groups, and managed care organizations. These benefits resulted in further collaboration between the MDP, HP, and other managed care, health care, and quality improvement organizations in Minnesota. Thus, Project IDEAL has been a successful collaboration of public health and managed care whose contribution to improved diabetes care in Minnesota health systems extends far beyond the original scope of the project.
{"title":"Improving diabetes care and outcomes: the secondary benefits of a public health-managed care research collaboration.","authors":"Jay R. Desai, L. Solberg, Cynthia K Clark, Laurel Reger, Teresa Pearson, Donald B. Bishop, Martha Roberts, Russ Sniegowski, P. O’Connor","doi":"10.1097/00124784-200311001-00007","DOIUrl":"https://doi.org/10.1097/00124784-200311001-00007","url":null,"abstract":"The project improving Diabetes Care through Empowerment, Active Collaboration and Leadership (IDEAL) is a collaborative translational research project of the Minnesota Diabetes Program (MDP) at the Minnesota Department of Health and HealthPartners (HP), a large managed care organization. The research was designed to test a quality improvement model to improve diabetes care delivery and outcomes in primary care clinics, but the collaboration was structured from the beginning to maximize potential secondary effects. The MDP and HP participated jointly in every aspect of the project. Personnel from other health care systems and academic and quality improvement organizations also participated in IDEAL. Secondary effects included heightened priority for diabetes care improvement at HP and within its medical group, along with an increased emphasis on a population approach for both of these organizations. Simultaneously, the MDP developed a better understanding of the issues and potential for improving care in primary care clinics, medical groups, and managed care organizations. These benefits resulted in further collaboration between the MDP, HP, and other managed care, health care, and quality improvement organizations in Minnesota. Thus, Project IDEAL has been a successful collaboration of public health and managed care whose contribution to improved diabetes care in Minnesota health systems extends far beyond the original scope of the project.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116604684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-11-01DOI: 10.1097/00124784-200311001-00003
M. Damond, Andrew M. Winters, L. Jack, D. Cropper, M. Londoño, Ronald Stoddard
In 1992, the Division of Diabetes Translation developed the Diabetes Today program to train representatives of state and local health departments on how to develop, implement, and evaluate community-based diabetes prevention and control programs. This commentary briefly describes the evolution of the Diabetes Today program in the United States. The Diabetes Today program utilizes a training curriculum to increase expertise in community assessment; coalition building; adult-learn principle, program planning, implementation, and evaluation. The training curriculum contains four modules: defining diabetes and mobilizing a community response; assessing diabetes in your community; planning your diabetes program, and evaluating your diabetes program. Two versions of the curriculum have been utilized--one in English and the other in Spanish. This commentary presents two examples of Diabetes Today efforts--The Missouri Diabetes Control and Prevention (English) and the United States/Mexico Border Diabetes Project (Spanish version)--to briefly describe how this program planning, implementation, and evaluation model can generate a community response to diabetes.
{"title":"Mobilizing communities: local applications of the Diabetes Today national training center project.","authors":"M. Damond, Andrew M. Winters, L. Jack, D. Cropper, M. Londoño, Ronald Stoddard","doi":"10.1097/00124784-200311001-00003","DOIUrl":"https://doi.org/10.1097/00124784-200311001-00003","url":null,"abstract":"In 1992, the Division of Diabetes Translation developed the Diabetes Today program to train representatives of state and local health departments on how to develop, implement, and evaluate community-based diabetes prevention and control programs. This commentary briefly describes the evolution of the Diabetes Today program in the United States. The Diabetes Today program utilizes a training curriculum to increase expertise in community assessment; coalition building; adult-learn principle, program planning, implementation, and evaluation. The training curriculum contains four modules: defining diabetes and mobilizing a community response; assessing diabetes in your community; planning your diabetes program, and evaluating your diabetes program. Two versions of the curriculum have been utilized--one in English and the other in Spanish. This commentary presents two examples of Diabetes Today efforts--The Missouri Diabetes Control and Prevention (English) and the United States/Mexico Border Diabetes Project (Spanish version)--to briefly describe how this program planning, implementation, and evaluation model can generate a community response to diabetes.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117068769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-11-01DOI: 10.1097/00124784-200311001-00011
L. Jack, Lynn A. Sokler, L. Squiers, Patricia L Mitchell
The Division of Diabetes Translation, Centers for Disease Control and Prevention, collaborated with its 59 Diabetes Prevention and Control Programs (DPCPs) to implement in 1998-1999 the National Diabetes Influenza and Pneumococcal Campaign. Postcampaign evaluation examined DPCPs' perceptions of the relevancy of the campaign in reaching the target population (adults aged 25-64 years with diabetes), establishing successful partnerships, and engaging the media. Most DPCPs stated the campaign reached their target population. DPCPs most commonly partnered with existing networks such as public health organizations or government agencies and direct health care providers. A majority of DPCPs did not find partnerships with direct health care providers to be effective in this campaign, but public health organizations, peer review organizations, and coalitions were described as successful partners. States in which DPCPs conducted follow-up calls to television stations regarding the airing of public service announcements generally had more announcements aired than states in which such calls were not made. Postcampaign evaluation findings also indicate that DPCPs who attempted to engage nontraditional partners (e.g., media outlets) achieved greater campaign success than those who did not. Future campaign efforts will likely benefit from relationships established with nontraditional partners, such as retailers, media outlets, local pharmacies, and faith-based organizations.
{"title":"The National Diabetes, Influenza, and Pneumococcal Campaign: an evaluation of campaign relevancy, partnerships, and media relations.","authors":"L. Jack, Lynn A. Sokler, L. Squiers, Patricia L Mitchell","doi":"10.1097/00124784-200311001-00011","DOIUrl":"https://doi.org/10.1097/00124784-200311001-00011","url":null,"abstract":"The Division of Diabetes Translation, Centers for Disease Control and Prevention, collaborated with its 59 Diabetes Prevention and Control Programs (DPCPs) to implement in 1998-1999 the National Diabetes Influenza and Pneumococcal Campaign. Postcampaign evaluation examined DPCPs' perceptions of the relevancy of the campaign in reaching the target population (adults aged 25-64 years with diabetes), establishing successful partnerships, and engaging the media. Most DPCPs stated the campaign reached their target population. DPCPs most commonly partnered with existing networks such as public health organizations or government agencies and direct health care providers. A majority of DPCPs did not find partnerships with direct health care providers to be effective in this campaign, but public health organizations, peer review organizations, and coalitions were described as successful partners. States in which DPCPs conducted follow-up calls to television stations regarding the airing of public service announcements generally had more announcements aired than states in which such calls were not made. Postcampaign evaluation findings also indicate that DPCPs who attempted to engage nontraditional partners (e.g., media outlets) achieved greater campaign success than those who did not. Future campaign efforts will likely benefit from relationships established with nontraditional partners, such as retailers, media outlets, local pharmacies, and faith-based organizations.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" 45","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120933536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-11-01DOI: 10.1097/00124784-200311001-00004
K. Braun, H. Ichiho, R. Kuhaulua, N. Aitaoto, J. Tsark, R. Spegal, B. Lamb
The goal of Diabetes Today, a program of the Centers for Disease Control and Prevention (CDC), is to develop coalitions and train coalition members in assessment, planning, and evaluation to address diabetes in their communities. CDC established the Pacific Diabetes Today Resource Center (PDTRC) in 1998 to tailor the program for Pacific Islander communities in Hawaii, American Samoa, Guam, the Commonwealth of the Northern Marianas Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and Palau. PDTRC's work is guided by the principles of community building and the goal of empowering coalitions to take action around diabetes. Culturally appropriate strategies are used to gain access to the community, transfer knowledge and skills, build coalitions, and provide technical assistance. Evidence of empowerment is seen in increased individual competence, enhanced community capacity, reduced barriers, and improved supports to address diabetes. To maintain the gains of community building in the Pacific, three factors appear critical: an engaged leader, a host agency for the coalition, and continuing access to technical assistance and funds.
{"title":"Empowerment through community building: Diabetes Today in the Pacific.","authors":"K. Braun, H. Ichiho, R. Kuhaulua, N. Aitaoto, J. Tsark, R. Spegal, B. Lamb","doi":"10.1097/00124784-200311001-00004","DOIUrl":"https://doi.org/10.1097/00124784-200311001-00004","url":null,"abstract":"The goal of Diabetes Today, a program of the Centers for Disease Control and Prevention (CDC), is to develop coalitions and train coalition members in assessment, planning, and evaluation to address diabetes in their communities. CDC established the Pacific Diabetes Today Resource Center (PDTRC) in 1998 to tailor the program for Pacific Islander communities in Hawaii, American Samoa, Guam, the Commonwealth of the Northern Marianas Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and Palau. PDTRC's work is guided by the principles of community building and the goal of empowering coalitions to take action around diabetes. Culturally appropriate strategies are used to gain access to the community, transfer knowledge and skills, build coalitions, and provide technical assistance. Evidence of empowerment is seen in increased individual competence, enhanced community capacity, reduced barriers, and improved supports to address diabetes. To maintain the gains of community building in the Pacific, three factors appear critical: an engaged leader, a host agency for the coalition, and continuing access to technical assistance and funds.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126528629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-11-01DOI: 10.1097/00124784-200311001-00010
D. Satterfield, T. Lofton, J. May, B. Bowman, Ana Alfaro-Correa, Christopher Benjamin, M. Stankus
Recent research findings confirming the feasibility and effectiveness of interventions to prevent or delay the onset of type 2 diabetes are of keen interest to many stakeholders, including communities from which diabetes exacts a heavy toll. To inform communication and program planners at national and local levels, the Division of Diabetes Translation, Centers for Disease Control and Prevention, turned to people and communities affected by diabetes for their views about diabetes prevention. We review the key themes that emerged across diverse populations and some examples of subthemes relevant to particular groups. Adults at risk for type 2 diabetes and community leaders from five racial and ethnic groups participated in 27 focus groups from five geographic locations across the country. We explored participants' knowledge, attitudes, and beliefs about diabetes and factors that would enable or impede lifestyle interventions at individual and community levels. Multiple analysts categorized responses using the qualitative technique of constant comparison. Many themes, some cutting across groups and some unique to specific groups, emerged about the negative effect of modern lifestyles on the health of adults and children. But positive findings about diabetes prevention generated hope that diabetes was not inevitable. All the focus groups noted that interventions were difficult to initiate and maintain and that social support, modeling stories, and community connections were needed. Listening to community members identified common and group-specific themes. These findings can inform health promotion messages and support adaptive community interventions for diabetes prevention.
{"title":"Learning from listening: common concerns and perceptions about diabetes prevention among diverse American populations.","authors":"D. Satterfield, T. Lofton, J. May, B. Bowman, Ana Alfaro-Correa, Christopher Benjamin, M. Stankus","doi":"10.1097/00124784-200311001-00010","DOIUrl":"https://doi.org/10.1097/00124784-200311001-00010","url":null,"abstract":"Recent research findings confirming the feasibility and effectiveness of interventions to prevent or delay the onset of type 2 diabetes are of keen interest to many stakeholders, including communities from which diabetes exacts a heavy toll. To inform communication and program planners at national and local levels, the Division of Diabetes Translation, Centers for Disease Control and Prevention, turned to people and communities affected by diabetes for their views about diabetes prevention. We review the key themes that emerged across diverse populations and some examples of subthemes relevant to particular groups. Adults at risk for type 2 diabetes and community leaders from five racial and ethnic groups participated in 27 focus groups from five geographic locations across the country. We explored participants' knowledge, attitudes, and beliefs about diabetes and factors that would enable or impede lifestyle interventions at individual and community levels. Multiple analysts categorized responses using the qualitative technique of constant comparison. Many themes, some cutting across groups and some unique to specific groups, emerged about the negative effect of modern lifestyles on the health of adults and children. But positive findings about diabetes prevention generated hope that diabetes was not inevitable. All the focus groups noted that interventions were difficult to initiate and maintain and that social support, modeling stories, and community connections were needed. Listening to community members identified common and group-specific themes. These findings can inform health promotion messages and support adaptive community interventions for diabetes prevention.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122499174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00004
L. Roché, Ric Skinner, R. Weinstein
A spatial scan statistic was used to search for geographic areas with significantly elevated proportions of women diagnosed with distant stage breast cancer in New Jersey in 1995-1997. The identified areas then were mapped and characterized using data from the 1990 U.S. Census and locations of mammography facilities. These areas' population characteristics included relatively high proportions of black or Hispanic women and linguistically isolated households. Targeted education and screening programs using this information may increase the diagnosis of breast cancer in the early stages, thereby reducing breast cancer mortality.
{"title":"Use of a geographic information system to identify and characterize areas with high proportions of distant stage breast cancer.","authors":"L. Roché, Ric Skinner, R. Weinstein","doi":"10.1097/00124784-200203000-00004","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00004","url":null,"abstract":"A spatial scan statistic was used to search for geographic areas with significantly elevated proportions of women diagnosed with distant stage breast cancer in New Jersey in 1995-1997. The identified areas then were mapped and characterized using data from the 1990 U.S. Census and locations of mammography facilities. These areas' population characteristics included relatively high proportions of black or Hispanic women and linguistically isolated households. Targeted education and screening programs using this information may increase the diagnosis of breast cancer in the early stages, thereby reducing breast cancer mortality.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115518880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00007
J. Fontanesi, M. De Guire, J. Chiang, David Kopald, K. Holcomb, M. Sawyer
To examine how forms encountered during routine clinical activities impact a provider's immunization activity, workflow analysis was performed in nine community clinics and small private practices. Data gathered included the number, source, and nature of forms. A total of 200 forms were used by the nine clinics just for children under 35 months of age. These represent a real labor cost as well as an opportunity cost. Use of a single summary sheet, yearly review of the forms, and coordination of agency documentation efforts are recommended.
{"title":"The forms that bind: multiple data forms result in internal disaggregation of immunization information.","authors":"J. Fontanesi, M. De Guire, J. Chiang, David Kopald, K. Holcomb, M. Sawyer","doi":"10.1097/00124784-200203000-00007","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00007","url":null,"abstract":"To examine how forms encountered during routine clinical activities impact a provider's immunization activity, workflow analysis was performed in nine community clinics and small private practices. Data gathered included the number, source, and nature of forms. A total of 200 forms were used by the nine clinics just for children under 35 months of age. These represent a real labor cost as well as an opportunity cost. Use of a single summary sheet, yearly review of the forms, and coordination of agency documentation efforts are recommended.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"8 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130367460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00005
Don Taylor, G. Chávez
Small-area analysis has become an important tool in the effective targeting of limited public health resources. In California, new funding for teenage pregnancy prevention programs required more and better information to justify the allocation of these funds to areas with the greatest need. Consequently, these funds were allocated using maps with census tract analyses of teenage birth rates and an overlay of geographic frequencies. State and local agencies' programs have responded with positive feedback to the maps, and public health management subsequently has augmented funding for mapping equipment and training. The lessons learned and future directions are discussed.
{"title":"Small area analysis on a large scale--the California experience in mapping teenage birth \"hot spots\" for resource allocation.","authors":"Don Taylor, G. Chávez","doi":"10.1097/00124784-200203000-00005","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00005","url":null,"abstract":"Small-area analysis has become an important tool in the effective targeting of limited public health resources. In California, new funding for teenage pregnancy prevention programs required more and better information to justify the allocation of these funds to areas with the greatest need. Consequently, these funds were allocated using maps with census tract analyses of teenage birth rates and an overlay of geographic frequencies. State and local agencies' programs have responded with positive feedback to the maps, and public health management subsequently has augmented funding for mapping equipment and training. The lessons learned and future directions are discussed.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122231925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00002
James F. Thrasher, K. Cummings, A. Michalek, M. Mahoney, K. Moysich, Donna M. Pillittere
Data from a community-based screening campaign were analyzed to assess compliance with colorectal cancer (CRC) screening guidelines among both average risk adults and those at increased risk because of having a first-degree relative (FDR) with CRC (FDR+). The prevalence of screening compliance was low in both groups. The authors also found that individuals with FDR+ returned a free fecal occult blood test at a slightly higher rate than those without FDR+s. Despite higher screening rates among individuals with FDR+s, interventions may need to target this high-risk group to increase compliance with CRC screening recommendations.
{"title":"Colorectal cancer screening among individuals with and without a family history.","authors":"James F. Thrasher, K. Cummings, A. Michalek, M. Mahoney, K. Moysich, Donna M. Pillittere","doi":"10.1097/00124784-200203000-00002","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00002","url":null,"abstract":"Data from a community-based screening campaign were analyzed to assess compliance with colorectal cancer (CRC) screening guidelines among both average risk adults and those at increased risk because of having a first-degree relative (FDR) with CRC (FDR+). The prevalence of screening compliance was low in both groups. The authors also found that individuals with FDR+ returned a free fecal occult blood test at a slightly higher rate than those without FDR+s. Despite higher screening rates among individuals with FDR+s, interventions may need to target this high-risk group to increase compliance with CRC screening recommendations.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123622122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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