Adapting to a Shifting Health Care Landscape: Illinois Breast and Cervical Cancer Program Lead Agencies’ Perspectives

Understanding how safety net programs adapt to systemic health care changes is pivotal for creating feasible recommendations for policy implementation. This study characterizes perspectives of Lead Agency (LA) coordinators of the Illinois Breast and Cervical Cancer Program (IBCCP) in response to soc...

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Bibliographic Details
Published in:Health promotion practice 2019-07, Vol.20 (4), p.600-607
Main Authors: Molina, Yamile, San Miguel, Cindy, Sanz, Stephanie, San Miguel, Liliana, Rankin, Kristin, Handler, Arden
Format: Article
Language:English
Subjects:
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - prevention & control
Cervical cancer
Changes
Clinical medicine
Coordination
Coordinators
Cross-Sectional Studies
Early Detection of Cancer - statistics & numerical data
Female
Health care industry
Health education
Health promotion
Health services
Humans
Illinois
Interviews as Topic
Medical personnel
Policy implementation
Politics
Public health
Public Health Practice
Referral and Consultation
Referrals
Respondents
Safety
Safety-net Providers - organization & administration
Understanding Context of the Stories We Tell
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - prevention & control
Vulnerability
Women's Health
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Summary:Understanding how safety net programs adapt to systemic health care changes is pivotal for creating feasible recommendations for policy implementation. This study characterizes perspectives of Lead Agency (LA) coordinators of the Illinois Breast and Cervical Cancer Program (IBCCP) in response to sociopolitical changes at state and national levels. Our cross-sectional study included 29 semistructured telephone interviews between December 2015 and January 2016. Respondents indicated some changes in the priority population served, changes in referrals and clinical services, and, a continued commitment to IBCCP. Our findings suggest that IBCCP and other safety net programs will need to be flexible to meet the ongoing needs of historically vulnerable populations in a complex, shifting environment. Implications for public health practice and policy include the need to ensure that program personnel are aware of evidence-based strategies to reach different priority populations and are kept abreast of organizational and system changes that may affect referral patterns as well as the need to educate health care providers working with safety net programs about changes in the delivery and coordination of services.
ISSN:1524-8399
1552-6372
DOI:10.1177/1524839918776012