ArticleEvaluation and program planning2017
Assessing local capacity to expand rural breast cancer screening and patient navigation: An iterative mixed-method tool.
Article in Evaluation and program planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- "It's Not Just Cost": Barriers to Mammography Screening Access Among Low-income Women in the United States-A Scoping Review.Journal of cancer prevention · 2026Review
- Assurance of Timely Access to Breast Cancer Diagnosis and Treatment by a Regional Breast Health Clinic Serving Both Urban and Rural-Remote Communities.Current oncology (Toronto, Ont.) · 2023Article
- Prevalence and correlates of false-positive results after 3-D screening mammography among uninsured women in a community outreach program.Preventive medicine reports · 2022Article
- Long-term Mammography Adherence among Uninsured Women Enrolled in the Breast Screening and Patient Navigation (BSPAN) Program.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Do mobile units contribute to spatial accessibility to mammography for uninsured women?Preventive medicine · 2020Article
- Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Assessing patient navigation as a tool to address equity in cancer early detection.Translational cancer research · 2019Article
- Effects of program scale-up on time to resolution for patients with abnormal screening mammography results.Cancer causes & control : CCC · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundDespite federal funding for breast cancer screening, fragmented infrastructure and limited organizational capacity hinder access to the full continuum of breast cancer screening and clinical follow-up procedures among rural-residing women. We proposed a regional hub-and-spoke model, partnering with local providers to expand access across North Texas. We describe development and application of an iterative, mixed-method tool to assess county capacity to conduct community outreach and/or patient navigation in a partnership model.
methodsOur tool combined publicly-available quantitative data with qualitative assessments during site visits and semi-structured interviews.
resultsApplication of our tool resulted in shifts in capacity designation in 10 of 17 county partners: 8 implemented local outreach with hub navigation; 9 relied on the hub for both outreach and navigation. Key factors influencing capacity: (1) formal linkages between partner organizations; (2) inter-organizational relationships; (3) existing clinical service protocols; (4) underserved populations. Qualitative data elucidate how our tool captured these capacity changes.
conclusionsOur capacity assessment tool enabled the hub to establish partnerships with county organizations by tailoring support to local capacity and needs. Absent a vertically integrated provider network for preventive services in these rural counties, our tool facilitated a virtually integrated regional network to extend access to breast cancer screening to underserved women.
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