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Reducing Disparities in Utilization of Mammography: Reaching Dually Eligible Women in Connecticut

Author: JUDITH BARR, MICHELLE KELVEY-ALBERT, MAUREEN CURRY, ALISA GAUDIOSI, KATIE TESTA, ANNE ELWELL, MARCIA PETRILLO, and THOMAS P. MEEHAN
Published in JHHSA, Vol. 26 No. 3

This article describes a two-pronged intervention by the health care
Quality Improvement Organization (QIO) for Connecticut to address
the disparity in rates of mammography screening between women
eligible for both Medicare and Medicaid (i.e., “dually eligible”) and
other Medicare beneficiaries. The interventions were directed benefici-
aries. One intervention addressed information and access needs of the
target population: an education session was followed by a mobile
mammography van session at low-income housing sites in specific
geographic areas. The second intervention was a culturally-sensitive
direct mailing to dually eligible beneficiaries across the state. Imple-
mentation methods are described including: defining and identifying
the target population; specifying the disparity; developing community
collaboration; and testing the mail materials.

Preliminary results of the education sessions and community testing of
the direct mail materials generated information about the target
population. Issues in implementation and analysis include: reaching the
target population, building community relations, and developing design
approaches to test the intervention.

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