The results, published online in the Journal of General Internal Medicine, indicate the importance of patient navigation in reducing health disparities in vulnerable patient populations.
Breast cancer is the second leading cause of cancer death in women, with 40,170 deaths in the United States in 2009. Lower mammography screening rates among minority and low income women contributes to the increased morbidity and mortality from breast cancer. According to the American Cancer Society, an estimated 5,320 new cases of breast cancer will be diagnosed and an estimated 780 women will die from breast cancer in Massachusetts during 2010.
The study was conducted over a nine-month period and involved 3,895 Boston Medical Center (BMC) general internal medicine primary care practice female patients between the ages of 51-70. Patient navigation services consisted of phone calls and reminder letters to identify the barriers to care and aid in directly scheduling mammograms. At the end of the nine-months, mammography adherence rates increased to 87 percent in those that received patient navigation with no change from the baseline adherence rates of the non navigated group (76 percent). Patient navigation also increased adherence rates across all languages, races, insurance and education groups.
"Primary care-based patient navigation is a valuable intervention to help reduce health care disparities, especially in vulnerable patient populations served by safety net hospitals like BMC," said Christine Phillips, MD, an assistant professor of medicine at BUSM and a physician in the department of general internal medicine at BMC, who led the study. "We need to explore ways to help sustain such programs in resource-poor communities and integrate them into our current Medical Home in order to provide the highest quality of care for patients."
Nathan Bliss | EurekAlert!
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Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
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For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
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