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J Public Health Manag Pract. 2004 Nov-Dec;10(6):545-55.

Case management in public health screening programs: the experience of the national breast and cervical cancer early detection program.

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  • 1Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.


This article describes a large public health screening program's early experience in adding case management as a formal program component. The results demonstrate that state and tribal programs participating in the National Breast and Cervical Cancer Early Detection Program have implemented a variety of organizational models for case management of women with abnormal screening results. Programs have different approaches to staffing and reimbursement of case management services, yet most programs have implemented a "patient navigator" or "medical" model of case management service delivery. Although a number of challenges were identified, a clear and positive finding is that case managers are playing an integral role in the transition between a cancer diagnosis through the program and enrollment in Medicaid for treatment services through the National Breast and Cervical Cancer Prevention and Treatment Act of 2000.

[PubMed - indexed for MEDLINE]
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