Bridging the Gap: Portal Messages as a Tool to Improve Breast Cancer and Diabetes Screening Rates - Report - MDSpire

Bridging the Gap: Portal Messages as a Tool to Improve Breast Cancer and Diabetes Screening Rates

  • By

  • Holly Krelle

  • William C. King

  • Sarah Tsuruo

  • Nathan Klapheke

  • Jeremy Lu

  • Kyra Rosen

  • Simon Jones

  • Blaire Holman

  • Lily Pazand

  • Lauren Diller

  • Gabriella Meringolo

  • Leora I. Horwitz

  • April 29, 2026

  • 0 min

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Clinical Report: Enhancing Screening Rates for Breast Cancer and Diabetes

Overview

This report evaluates the effectiveness of electronic patient portal messaging strategies in increasing appointment rates for breast cancer and diabetes screenings. The findings indicate that tailored messaging significantly improved patient engagement and screening uptake.

Background

Preventive care services are crucial for managing chronic diseases, yet many patients do not receive recommended screenings. The Affordable Care Act has aimed to improve access to these services, but significant gaps remain, particularly in urban settings. Innovative strategies, such as electronic reminders, are needed to enhance screening rates and ultimately improve patient outcomes.

Data Highlights

Replace with actual data or a statement indicating the absence of numerical data.

Key Findings

  • Only 8% of U.S. patients over age 35 received all recommended preventive care services.
  • Intervention messages designed using the EAST framework were more effective than standard messages.
  • Patients receiving tailored messages had higher appointment booking rates for screenings.
  • Direct scheduling links in messages improved ease of booking appointments.
  • Randomized quality improvement projects can efficiently test and implement new messaging strategies.

Clinical Implications

Healthcare providers should consider integrating electronic messaging strategies into their practice to enhance patient engagement in preventive care. Tailoring messages to be more attractive and actionable can lead to improved screening rates for chronic conditions.

Conclusion

The study demonstrates that innovative messaging strategies can significantly enhance screening rates for breast cancer and diabetes. Continued exploration of such interventions is essential for improving preventive care delivery.

References

  1. ASCO Post, ASCO20 Virtual Scientific Program: Next-Generation Oncology Highlights, 2020 -- Title
  2. ASCO Post, Study Finds Use of Remote Interventions Improved Adherence to Cancer Screenings Among Women Living in Rural Areas KEY POINTS, 2022 -- Title
  3. ASCO Post, Early Symptom Reporting Can Extend Life for Patients With Advanced Cancer, 2017 -- Title
  4. npj Digital Medicine, Accessing AI mammography reports impacts patient follow-up behaviors: the unintended consequences of including AI in patient portals, 2025 -- Title
  5. Recommendation: Breast Cancer: Screening | United States Preventive Services Taskforce -- Title
  6. Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce -- Title
  7. A Randomized Controlled Trial of Patient Reminders and Self-Referrals via Online Patient Portals and Text Messaging to Improve Adherence to Screening Mammography - ScienceDirect -- Title
  8. Recommendation: Breast Cancer: Screening | United States Preventive Services Taskforce
  9. Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce
  10. A Randomized Controlled Trial of Patient Reminders and Self-Referrals via Online Patient Portals and Text Messaging to Improve Adherence to Screening Mammography - ScienceDirect

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