TABLE 3.
Generalized Estimating Equation Analysis of the National Breast and Cervical Cancer Early Detection Program Performance Before and After Full Implementation of Performance Management (PM) Systema
| Performance Measure | % Met Pre-PM (n = 462) | % Met Post-PM (n = 462) | Post-PM Odds Ratio | Post-PM 95% CI | Post-PM Wald P Value |
|---|---|---|---|---|---|
| Breast cancer screenings provided to priority population | 62.8 | 76.8 | 1.97 | (1.34–2.88) | .0005 |
| Cervical cancer screenings provided to priority population | 67.1 | 86.6 | 3.16 | (2.06–4.85) | <.0001 |
| Complete diagnostic evaluation of abnormal cervical screenings | 77.3 | 87 | 1.97 | (1.22–3.17) | .0053 |
| Timely diagnostic evaluation of abnormal cervical screenings | 58.7 | 75.1 | 2.13 | (1.59–2.84) | <.0001 |
| Timely treatment initiated for precancerous cervical lesions | 99.1 | 98.5 | 0.57 | (0.13–2.53) | .458 |
| Complete diagnostic evaluation of abnormal breast screens | 78.1 | 95.5 | 5.88 | (3.33–10.36) | <.0001 |
| Timely diagnostic evaluation of abnormal breast screens | 94.4 | 96.8 | 1.78 | (0.87–3.62) | .1138 |
a
The preimplementation period (July 2002–October 2005) served as the referent period.