Over the last 50 years, the incidence of cervical cancer has dramatically decreased. However, health disparities in cervical cancer\nscreening (CCS) persist for women from racial and ethnic minorities and those residing in rural and poor communities. For\nmore than 45 years, federally funded health centers (HCs) have been providing comprehensive, culturally competent, and quality\nprimary health care services to medically underserved communities and vulnerable populations. To enhance the quality of care\nand to ensure more women served at HCs are screened for cervical cancer, over eight HCs received funding to support patientcentered\nmedical home (PCMH) transformation with goals to increase CCS rates. The study conducted a qualitative analysis using\nAtlas.ti software to describe the barriers and challenges to CCS and PCMH transformation, to identify potential solutions and\nopportunities, and to examine patterns in barriers and solutions proposed by HCs. Interrater reliability was assessed using Cohen�s\nKappa. The findings indicated that HCs more frequently described patient-level barriers to CCS, including demographic, cultural,\nand health belief/behavior factors. System-level barriers were the next commonly cited, particularly failure to use the full capability\nof electronic medical records (EMRs) and problems coordinating with external labs or providers. Provider-level barriers were least\nfrequently cited.
Loading....