Despite recent controversy and news reports, early detection remains the single most important factor in surviving breast cancer; and mammography is the most effective early detection tool available. However, certain groups of women – uninsured, underinsured, women over the age of 50, Hispanic women – are less likely to participate in screening programs for breast cancer. Screening disparities persist as do negative cancer outcomes. Uninsured breast cancer patients are more likely than their insured counterparts to be diagnosed with advanced disease. Uninsured women also experience delays in starting and completing treatment.

The population served by University Health System (UHS) is primar...

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Despite recent controversy and news reports, early detection remains the single most important factor in surviving breast cancer, and mammography is the most effective early detection tool available. However, certain groups of women – uninsured, underinsured, women over the age of 50, Hispanic women – are less likely to participate in screening programs for breast cancer. Screening disparities persist as do negative cancer outcomes. Uninsured breast cancer patients are more likely than their insured counterparts to be diagnosed with advanced disease. Uninsured women also experience delays in starting and completing treatment.

The population served by University Health System (UHS) is primarily under or uninsured and significantly Hispanic. The barriers and issues faced by the targeted population are significant. The proposed intervention, University Health System Mammography Utilization Program, will increase the utilization of mammography in women age 50 – 64, consequently increasing the likelihood of early diagnosis. The appointed patient navigator and the standardized process will provide both the personal and systems support needed to ensure that women in this population will start and continue their preventive breast health care.

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