Together We Go Farther: Improving Access to Cancer Screening Through a Multidisciplinary, One-Stop-Shop Approach.

Humans Early Detection of Cancer Neoplasms / diagnostic imaging
Cancer disparities Cancer screening Health equity Health fair Healthcare disparities

Journal

Academic radiology
ISSN: 1878-4046
Titre abrégé: Acad Radiol
Pays: United States
ID NLM: 9440159

Informations de publication

Date de publication:
12 2023
Historique:
received: 12 05 2023
revised: 15 07 2023
accepted: 20 07 2023
medline: 1 12 2023
pubmed: 16 9 2023
entrez: 15 9 2023
Statut: ppublish

Résumé

Despite significant scientific advances in cancer treatment in recent decades, Black Americans still face marked inequities in cancer screening, diagnosis, and treatment. Redressing these persistent inequities will require innovative strategies for community engagement. Radiologists, as experts in cancer screening and diagnosis for multiple malignancies, including breast, lung, and colon, are ideally suited to lead and implement community-based strategies to address local cancer disparities. Through an established academic-community partnership in West Philadelphia built over the course of multiple prior community healthcare events, the authors piloted a novel radiology-led multidisciplinary approach to improve access to cancer screening for the predominantly Black, medically-underserved residents. Using a "one-stop-shop" framework to provide a comprehensive suite of screening and ancillary services in the heart of the community, the authors sought to remove as many impediments to screening as possible. Approximately 350 participants attended the health fair, and a total of 232 screening tests or assessments were completed. Data from this event suggest that this inclusive approach, as well as the use of a health fair "passport" to incentivize engagement, can successfully improve access to screening and follow-up in an underserved community. This "one-stop-shop" community approach can be replicated by radiology-led teams in other settings as a high-value, scalable opportunity to reduce disparities in access to cancer screening.

Identifiants

DOI: 10.1016/j.acra.2023.07.021 PMID: 37714719
pubmed: 37714719
pii: S1076-6332(23)00390-2
doi: 10.1016/j.acra.2023.07.021
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3153-3161

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Sara P Ginzberg (SP)

Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., L.C.E., D.J.L.); Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Christine E Edmonds (CE)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.); Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.). Electronic address: christine.edmonds@pennmedicine.upenn.edu.

Farouk Dako (F)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Terrilynn Donnell (T)

Church of Christian Compassion, Philadelphia, Pennsylvania (T.D.).

Armenta L Washington (AL)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Leisha C Elmore (LC)

Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., L.C.E., D.J.L.); Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Daniel J Lee (DJ)

Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., L.C.E., D.J.L.); Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Anil Vachani (A)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.); Department of Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania (A.V., C.E.G.).

Deborah Mincarelli (D)

Department of Pathology and Laboratory Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania (D.M.).

Carla Zeballos Torrez (C)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Thomas M McCormick (TM)

Patient Accounting, University of Pennsylvania Health System, Philadelphia, Pennsylvania (T.M.M.).

Veronica Rodriguez (V)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Vivian Nguyen (V)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.).

Catherine Oliva (C)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Barbara Atherholt (B)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Raymond Gaiser (R)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Lawrence Congiu (L)

Information Services, University of Pennsylvania Health System, Philadelphia, Pennsylvania (L.C.).

Brandon Grant (B)

Office of the Chief Executive Officer, University of Pennsylvania Health System, Philadelphia, Pennsylvania (B.G.).

Murat Gungor (M)

Senior Vice President of Diagnostic Imaging, Siemens Healthineers, Malvern, Pennsylvania (M.G.).

Brian S Englander (BS)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

Carmen E Guerra (CE)

Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (S.P.G., C.E.E., A.L.W., L.C.E., D.J.L., A.V., V.R., V.N., C.E.G.); Department of Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania (A.V., C.E.G.).

Linda W Nunes (LW)

Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania (C.E.E., F.D., C.Z.T., C.O., B.A., R.G., B.S.E., L.W.N.).

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Together We Go Farther: Improving Access to...
questionsmedicales.fr › Diagnostic › Diagnostic précoce › Dépistage précoce du cancer › Together We Go Farther: Improving Access to...
questionsmedicales.fr › Tumeurs › Together We Go Farther: Improving Access to...