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Clinical Strategies
Population Strategies

Clinical Strategies

Guide to Clinical Preventive Services or the "Clinical Guide" is the gold standard among clinician guides on preventive patient care. It addresses disease and risk factor screening and counseling about health behaviors. The U.S. Preventive Services Task Force, convened by the U.S. Agency for Healthcare Research and Quality, develops the Guide's recommendations based on scientific evidence of effectiveness.

Clinical Guide Recommendation for Breast Cancer Screening

Screening mammography, with or without clinicial breast examination, every 1-2 years for women aged 40 and older.

Clinical Guide Recommendations for Cervical Cancer Screening

Screening with cervical cytology (Pap smears), beginning within 3 years of onset of sexual activity or at age 21 (whichever comes first) and screening at least every three years thereafter.

The U.S. Preventive Services Task Force recommends against routine Pap smear screening in women who have had a total hysterectomy for benign disease or are older than age 65 and have had adequate recent screening with normal Pap smears and are not otherwise at high risk for cervical cancer.

Clinical Guide Recommendation for Colorectal Cancer Screening

Colorectal cancer screening for men or women 50 years of age or older.

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Population Strategies

Guide to Community Preventive Services or "The Community Guide" details effective community-based strategies to promote and safeguard health. These might include media campaigns, educational programs, policy changes, or regulatory action. It is being developed by an independent task force convened by the Centers for Disease Control and Prevention.

These tables provide an overview of the Community Guide's recommendations on increasing breast, cervical and colorectal cancer screening. The Community Guide Web site explains each recommendation.

Strategies to Improve Breast Cancer Screening
Multi-component Interventions using media, education and enhanced access	Strong Evidence of Effectiveness
Client Reminders	Strong Evidence of Effectiveness
Small Media (e.g., brochures or videos)	Strong Evidence of Effectiveness
Removal of Structural Barriers (e.g., inconvenient hours of operation)	Strong Evidence of Effectiveness
Incentives with Client Reminders	Strong Evidence of Effectiveness
Reducing Out-of-pocket Expense	Sufficient Evidence of Effectiveness

Strategies to Improve Cervical Cancer Screening
Client Reminders	Strong Evidence of Effectiveness

Strategies Colorectal Cancer Screening
Removal of Structural Barriers (e.g., inconvenient hours of operation)	Strong Evidence of Effectiveness
Client Reminders	Sufficient Evidence of Effectiveness

Strategies to Promote Informed Decisions About Cancer Screening
Informed Decision-making to support cancer screening decisions	Sufficient Evidence of Effectiveness

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All of our Population Strategies documents are in pdf form. You may download Adobe Reader here: