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Promoting Positive Health Behavior

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Promoting Positive Health Behavior

There is strong evidence that the preventive medicine practice of screening for diseases is very effective in saving lives, reducing suffering and health care costs. In light of this the federal government in collaboration with states launched the Every Woman Matters (EWM) program to help improve public awareness of the need for early detection of breast and cervical cancer and also to improve access to screening services for low income women, through the removal of the barrier to preventive breast and cervical cancer screening in these communities.
By design EWM aligned with participating practices to help them implement the program. Eligible women received clinical breast examination, mammography, and papanicolaou smear from these practices at reduced or no cost. Unfortunately EWM program failed short of its objectives.
The possible reasons for the ineffectiveness of the EWM program were largely design-based. A study conducted by Backer et al in collaboration with the Nebraska Health and Human Services EWM program helped elucidate some of the design flaws of this program. The group collected and analyzed both qualitative and quantitative data from 7 participating practices, in addition to in-depth interviews with physicians and staff at participating practices. By design this study was intended to: * Identify barriers to delivery of breast and cervical cancer screening services * Enhance understanding of the attitudes of physicians and staff towards the required changes for successful implementation of the EWM program * Determine practice strengths and weaknesses in relation to the delivery of breast and cervical cancer screening services * Help inform the development of plans for reducing barriers to delivery of breast and cervical cancer screening services.
The study identified key reasons for the failure

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