Info

Follow-Up Abnormals

Diagnose and Evaluate

Patient Participation

Reminders

• Outreach lest Sensitivity/ Specificity

Technology Resources

Quality of Test Application

Quality of Reading/ Interpretation

Biologic Characteristic*

Follow-Up Abnormals

Notification System

Patient Adherence

Provider Interpretation or Communication

Diagnose and Evaluate

Sensitivity/ Specificity

Technology Resources

Quality of Interpretation

Tissue Sample Error

Cancer or Precursor Treatment

Excision/Ablation; Surgery; Radiation; Adjuvant Chemotherapy; Palliative Care

Follow-Up Diagnostic Recommendations

Notification System

Patient Adherence

Provider Interpretation or Communication

Treatment

Efficacy

Patient Adherence

Provider Error

Long-Term

Reduced Mortality

Intermediate

Reduced Rates of Invasive Cervical

Cancer and [.ate-Stage Breast or Colon Cancer

Implementation Issues During Types (□) and Transitions in Care

Leadership, Delivery- System Design, Clinical Deeision Support, Clinical Information Systems, Patient Self-Management Support

Organizational Strategies to Improve Implementation figure 24.1. The screening process involves types of care and the transitions between them. (Adapted from Zapka et al.,12 by permission of Cancer Epidemiology Biomarkers & Prevention.)

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