Increasing Sustained Participation in Free Mass Prostate Cancer Screening Clinics PDF Download
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Author:
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ISBN:
Category :
Languages : en
Pages : 37
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Book Description
The overall objective of this study is to determine factors associated with sustaining regular participation in free prostate cancer screening clinics among African American men. The expected outcome will be to define a set of intervention strategies that can be conducted at the community level by nurses in free screening clinics or programs. This study will provide understanding of the factors that influence African American men's choice to sustain participation in mass prostate cancer screening. Strategies used in this study show that African American participation can be increased. However, a challenge remains to sustain their participation in the free prostate cancer screening from one year to fl%the next, and over several years. Tailored messages have been developed which% respond to reasons men give for not returning, and also for reasons given that they seek the screening. Targeted mailed reminders can promote use of free screening clinics. Work in year 3 included continued collection of demographic data on the screening participants. In addition, conduct of prostate cancer screening information sessions was continued at area African American churches. Tailored messages were developed and used by free screening planners to facilitate enrollment of new and past year screening. Data cleaning and analysis were continued to determine the unduplicated count of study participants for each study year. in 2004 there were 508 participants. Of those 58% were African American which is an 18.5% increase over the three study years.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 37
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Book Description
The overall objective of this study is to determine factors associated with sustaining regular participation in free prostate cancer screening clinics among African American men. The expected outcome will be to define a set of intervention strategies that can be conducted at the community level by nurses in free screening clinics or programs. This study will provide understanding of the factors that influence African American men's choice to sustain participation in mass prostate cancer screening. Strategies used in this study show that African American participation can be increased. However, a challenge remains to sustain their participation in the free prostate cancer screening from one year to fl%the next, and over several years. Tailored messages have been developed which% respond to reasons men give for not returning, and also for reasons given that they seek the screening. Targeted mailed reminders can promote use of free screening clinics. Work in year 3 included continued collection of demographic data on the screening participants. In addition, conduct of prostate cancer screening information sessions was continued at area African American churches. Tailored messages were developed and used by free screening planners to facilitate enrollment of new and past year screening. Data cleaning and analysis were continued to determine the unduplicated count of study participants for each study year. in 2004 there were 508 participants. Of those 58% were African American which is an 18.5% increase over the three study years.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 44
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Book Description
Author: United States. Public Health Service. Office of the Surgeon General
Publisher:
ISBN:
Category : Diet
Languages : en
Pages : 776
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Book Description
Abstract: This report from the Surgeon General presents a comprehensive discussion of the relationship between diet and chronic disease. The main conclusion is that overconsumption of certain dietary components is now a major concern for Americans. The chi ef issue is the disproportionately large consumption of foods high in fats and the lack of consumption of foods high in complex carbohydrates and fiber (vegetables, fruits, and whole grain products). The publication includes an examination of the role of diet in major disease groups, a discussion of maternal and child nutrition issues, and a review of common dietary fads and frauds. Extensive citations and supporting documentation are presented to justify conclusions and recommendations.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473
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Book Description
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309253365
Category : Medical
Languages : en
Pages : 126
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Book Description
Recent research suggests that obesity and excess weight can play a prominent role in the incidence and progression of various cancers. Obesity results from an energy imbalance - that is, energy intake that is higher than energy expenditure - could also influence the growth of cancers. Recognizing the impact that current findings on obesity and cancer could have on future cancer prevention and care, the National Cancer policy Forum (NCPF) of the Institute of Medicine (IOM) help a 2-day workshop on "The Role of Obesity in Cancer Survival and Recurrence," in Washington, DC, on October 31 and November 1, 2011. The Role of Obesity in Cancer Survival and Recurrence: Workshop Summary reviews each presenter's latest clinical evidence on the obesity-cancer link and the molecular mechanisms that might explain that link. Clinicians, researchers, cancer survivors, and policy makers also discussed potential interventions to counter the effects of obesity on cancer, and research and policy measures needed to stem the rising tide of cancer mortality predicted by an increasingly overweight and older population worldwide. The Role of Obesity in Cancer Survival and Recurrence: Workshop Summary explores the complex web of molecular mechanisms that underlie the obesity-cancer link, the ways to design future studies to acquire the information needed to guide patient care, what to advise cancer patients about weight loss, diet, exercise, and other measures to reduce their risk of cancer progression or recurrence and policy suggestions related to research, education, and dissemination of the findings on obesity and cancer.
Author: J. Stephen Jones
Publisher: Springer Science & Business Media
ISBN: 162703188X
Category : Medical
Languages : en
Pages : 390
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Book Description
Based on the highly successful first edition of Prostate Biopsy: Indications, Techniques, and Complications, this new volume presents new concepts that have emerged in answer to current questions from its audience. Many new perspectives and technologies are presented, many from the authors’ internationally recognized work on the topic. Substantial developments in techniques and complications are explored in detail. The chapter authors comprise a complete spectrum of specialists in their respective subject areas. All authors are internationally accepted as the premier authorities on their chosen topics. Prostate Cancer Diagnosis: PSA, Biopsy, and Beyond presents new data on the controversial issue of PSA screening and thresholds as indication to perform biopsy. Office based transrectal saturation biopsy is covered in detail. Other topics explored include template guided biopsy and image-guided biopsy as well as a completely new paradigm for prevention of complications. Prostate Cancer Diagnosis: PSA, Biopsy, and Beyond will be of great value and utility to all practicing urologists.
Author: John Gabbay
Publisher: Routledge
ISBN: 1136888381
Category : Education
Languages : en
Pages : 290
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Book Description
Despite its ‘gold-standard’ status, the EBP movement is faltering because, while much effort has gone into developing an idealised model of the way clinicians ought to use best evidence, there is less understanding of why they often don’t. This book examines how clinicians do actually develop and use clinical knowledge.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170133
Category : Medical
Languages : en
Pages : 564
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Book Description
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Author: H. Gilbert Welch
Publisher: Beacon Press
ISBN: 0807021997
Category : Medical
Languages : en
Pages : 249
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Book Description
An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.
