Preface Contents Executive Summary Background Paper   I. Incidence, mortality, and impact on society II. Skin cancer III. Contributing and causative factors IV. Prevention V. Cancer prevention and information services that impact the skin cancer problem VI. Barriers to early detection and treatment of skin cancer in Texas VII. Policy initiatives that would affect skin cancer awareness and prevention VIII. Professional practice regarding skin cancer prevention, detection, and treatment IX. Prevention and information models Action Plan   Goal I Initiate data collection and analysis   Goal II Develop prevention information and services to increase public awareness   Goal III Enhance professional education and practice   Goal IV Improve access to prevention, detection, and treatment Bibliography Appendix   i. Melanoma of the Skin Incidence and Mortality Rates, 1988-1992 ii. Five-Year Relative Survival Rates, by Site 1986-1992 iii. Average Years of Live Lost per Person Dying of Cancer, 1993 iv. Demographic Characteristics of Patients Diagnosed with Malignant Melanoma of the Skin v. Counties Reporting Health Care Availability as an Issue vi. Federally Designated Medically Underserved Areas vii. Additional Texas Cancer Council Initiatives
		Goal IV: Improve access to prevention, detection and treatment
		Objective A. Facilitate access to information on risk factors, prevention, screening, detection, and treatment of skin cancer for all residents of Texas.
			Strategy 1 Enhance access to information on risk factors, prevention, screening, detection, and treatment opportunities in all geographic areas particularly those underserved by health care practitioners and medical facilities.
			Strategy 2 Encourage development of coalitions of health care entities that can assure availability of skin cancer screening and follow-up for uninsured individuals.
			Strategy 3 Support development of the Texas Cancer Data Center's "Gateway" web site as a clearinghouse for reliable information on skin cancer prevention, detection, and treatment services in Texas.
				Support continued development of skin cancer awareness in the Nurse Oncology Education P rogram, the Physician Oncology Education Program, the Dental Oncology Education P rogram, and other training programs for health care practitioners.
		Objective B. Address cost barriers regarding screening and prevention services.
			Strategy 1 Examine the cost effectiveness of screening.
			Strategy 2 Support statewide Telemedicine consultations.
			Strategy 3 Examine the cost effectiveness of clinical and diagnostic preventive services such as photomapping and treatment of actinic keratoses.
		Objective C. Facilitate access of patients to dermatologists for screening or investigation of suspicious lesions.