Journal article
System Strategies for Colorectal Cancer Screening at Federally Qualified Health Centers
American journal of public health (1971), Vol.105(1), pp.212-219
01/2015
DOI: 10.2105/AJPH.2013.301790
PMCID: PMC4250445
PMID: 24832146
Abstract
Objectives. We assessed the protocols and system processes for colorectal cancer (CRC) screening at federally qualified health centers (FQHCs) in 4 midwestern states. Methods. We identified 49 FQHCs in 4 states. In January 2013, we mailed their medical directors a 49-item questionnaire about policies on CRC screening, use of electronic medical records, types of CRC screening recommended, clinic tracking systems, referrals for colonoscopy, and barriers to providing CRC. Results. Forty-four questionnaires (90%) were returned. Thirty-three of the respondents (75%) estimated the proportion of their patients up-to-date with CRC screening, with a mean of 35%. One major barrier to screening was inability to provide colonoscopy for patients with a positive fecal occult blood test (59%). The correlation of system strategies and estimated percentage of patients up-to-date with CRC screening was 0.43 (P = .01). Conclusions. CRC system strategies were associated with higher CRC screening rates. Implementing system strategies for CRC screening takes time and effort and is important to maintain, to help prevent, or to cure many cases of CRC, the second leading cause of cancer in the United States.
Details
- Title: Subtitle
- System Strategies for Colorectal Cancer Screening at Federally Qualified Health Centers
- Creators
- Jeanette M Daly - The authors are with the Department of Medicine, and Jeanette M. Daly, Barcey T. Levy, and Camden P. Bay are also with the Department of Epidemiology, College of Public Health, University of Iowa, Iowa CityBarcey T LevyCarol A MossCamden P Bay
- Resource Type
- Journal article
- Publication Details
- American journal of public health (1971), Vol.105(1), pp.212-219
- DOI
- 10.2105/AJPH.2013.301790
- PMID
- 24832146
- PMCID
- PMC4250445
- NLM abbreviation
- Am J Public Health
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Publisher
- United States
- Grant note
- RC4 CA153493 / NCI NIH HHS P30 CA086862 / NCI NIH HHS
- Language
- English
- Date published
- 01/2015
- Academic Unit
- Health Management and Policy; Epidemiology; Family and Community Medicine
- Record Identifier
- 9984025267202771
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