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Organizational Change: A Case Study in Implementing a Breast Cancer Screening Clinic
Final rept. Jul 1992-Jul 1993
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
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This study examines the process of implementing a preventive medicine program as a matrix organization, where no such program has previously existed. Specifically, this project focuses on the implementation of a breast cancer screening clinic at Madigan Army Medical Center MAMC as a model for a military preventive program. Historically, there has not been a program for screening mammographies at MAMC except for symptomatic women and all active duty women. The issue is an important one, since the majority of breast carcinomas are discovered in women without risk factors, thereby emphasizing the importance of having a general screening program. There are endorsements by public health officials and medical personnel advocating screening guidelines and the efficacy of preventive measures. The project will describe the process involved in starting a new organizational element and the various steps required to activate the program. The information gleaned from this study translates into assistance for other facilities. As the Army faces downsizing, regionalization, fiscal constraints, and a competitive and rapidly changing health care environment, it behooves us to study and share information. Preventive medicine program, Breast cancer screening clinic.
APPROVED FOR PUBLIC RELEASE