Cancer screening in the community. Taking the show on the road.

Abstract

PURPOSE: The authors describe the efforts involved in improving cancer screening of an underserved population using a mobile clinic to bring these services to the community. The background, methods, results, and implications are discussed, as are the logistics of packing, scheduling, and providing follow-up. OVERVIEW: Members of the University of Pittsburgh Cancer Institute Cancer Prevention and Early Detection Program developed a cancer screening program to serve the underserved communities in the Pittsburgh area. The African American Cancer Screening Program has presented the staff with significant challenges. The most significant of those challenges has been taking the most comprehensive screening program to the areas convenient to clients. Although coordinating staff, materials, and transportation was a challenge, the logistical problems involved were resolved, allowing for the opportunity to "take the show on the road". CLINICAL IMPLICATIONS: Because the mortality rate from some cancers is higher in black Americans, early cancer screening and detection is crucial in this population. The establishment of a mobile cancer screening clinic allows underserved communities access to these services. The physical screening, educational counseling, scheduling of mammographies and flexible sigmoidoscopies, and meticulous follow-up provided through the mobile clinic may lead to a greater awareness and reduced morbidity and mortality from cancer in these communities.