1) follow up
“More black women experience follow-up times of over 60 days (20%) compared with white women (12%) after a mammogram that is not normal. Waiting longer for follow-up care may lead to cancers that spread beyond the breast and are harder to treat.”
“Only 69% of black women start treatment within 30 days (compared with 83% of white women).
Fewer black women receive the surgery, radiation, and hormone treatments they need compared to white women.
Black women have 9 more deaths per 100 breast cancers diagnosed compared to white women.”
Federal government is implementing the Affordable Care Act and educating women about the preventative benefits and coverage provided by the law, including coverage of mammograms without co-pays in many health plans and, beginning in 2014, the law will expand access to health insurance coverage for 30 million previously-uninsured Americans.
Investing in the use of electronic health records and case management services in federally-funded health clinics so women get the timely followup care. For example, over $80 million were invested to help networks of health centers adopt electronic health records (EHR) and other health information technology (HIT) system.
Supporting state efforts.
Supporting research on health disparities in breast cancer.
State and local health agencies can:
Use public-private partnerships to work with health care systems and health insurance companies to help educate women and their doctors about timely, high-quality breast cancer care.
Use outreach strategies.
Health care systems can:
Engage well-trained case managers.
Inform doctors about their screening and treatment rates to improve their timeliness of care.
Explore strategies to enhance doctor-patient communications.
Doctors, nurses, and others who treat patients can:
Make sure that women get recommended tests and treatments.
Use tools like electronic systems or other reminders to notify patients when it’s time to get a mammogram.
Continue to talk to women about their risk for breast cancer, explain test results and refer patients to specialists as needed.
Follow-up and treatment is to do with health care. How obamacare is addressing it? ( curosity.. Need to read )