This eight-HMO project, led by Dr. Stephen Taplin (NCI; formerly of GHC), identified women with invasive cervical cancer or late-stage breast cancer. The project estimated the proportion of each group attributable to potential problems in care delivery—absence of screening and detection and/or deficiencies in follow-up. The project team created a model for considering quality issues in cancer care. They also profiled the screening practices and policies in the HMOs and surveyed clinician attitudes about screening policies and practices. The absence of screening accounted for most of the late-stage breast and cervical cancers.
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