Year of Publication



Martin School of Public Policy and Administration

Date Available


Degree Name

Master of Public Administration

Committee Chair

David Agrawal

Executive Summary

Kentucky has some of the highest mortality rates for colon, breast, cervical and lung cancer in the United States, according to the Center of Disease Control. Our Client, The Foundation for a Healthy Kentucky, is seeking to lower these rates by increasing employer driven cancer screenings. Previous studies show many states have been successful in implementing programs to motivate employees to participate in preventative screenings. Through individual interviews with Kentucky employers, this study aims to answer what factors affect the best practices and perceived barriers amongst employers with health and wellness programs to increase the rate of preventative breast, cervical, lung, and colorectal screenings amongst their employees. The interview format allows a deeper understanding into the why of best practices and barriers beyond what a simple survey could explain. A total of 3 employers were interviewed, one small sized company (<100 employees) and two large companies (>1000 employees). Through these interviews, the major barriers to implementing the health and wellness programs were limited financial and human resources, low employee uptake and a lack of communication. There is an opportunity for the client to support employers by developing statistics, infographics, and any other elevator speech presentations to illustrate benefits and communicate with both the employees and the C-suite the benefits of preventative cancer screenings.



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