Interventions may be delivered at different levels: during face-to-face patient consultation, at a practice patient population level, or targeting the community where a practice is located (Figure 5).
Levels where interventions may be delivered
Reproduced from Sorensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 2012;12:80.
Cervical cancer screening is primarily undertaken in general practice in Australia. Yet it is supported by a large number of community-based organisations like the Cancer Councils and other healthcare services such as community health centres. These organisations promote cervical cancer screening in the broader community, raising awareness and increasing health literacy.
In addition, GPs receive financial support through the Service Incentive Payment (SIP) program to undertake cervical cancer screening in those women who have not had a Pap test in four or more years. This support encourages screening and is an illustration of targeting screening at different levels (ie community, practice and patient).
– Prof Danielle Mazza, Green Book Editorial Committee