Case management in public health screening programs: the experience of the national breast and cervical cancer early detection program

J Public Health Manag Pract. 2004 Nov-Dec;10(6):545-55. doi: 10.1097/00124784-200411000-00012.


This article describes a large public health screening program's early experience in adding case management as a formal program component. The results demonstrate that state and tribal programs participating in the National Breast and Cervical Cancer Early Detection Program have implemented a variety of organizational models for case management of women with abnormal screening results. Programs have different approaches to staffing and reimbursement of case management services, yet most programs have implemented a "patient navigator" or "medical" model of case management service delivery. Although a number of challenges were identified, a clear and positive finding is that case managers are playing an integral role in the transition between a cancer diagnosis through the program and enrollment in Medicaid for treatment services through the National Breast and Cervical Cancer Prevention and Treatment Act of 2000.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Breast Neoplasms / diagnosis*
  • Case Management / organization & administration*
  • Centers for Disease Control and Prevention, U.S.
  • Female
  • Health Promotion / organization & administration*
  • Humans
  • Mass Screening / organization & administration*
  • Medicaid
  • Models, Organizational
  • Needs Assessment
  • Program Evaluation
  • United States
  • Uterine Cervical Neoplasms / diagnosis*