scholarly journals Society of Behavioral Medicine Update: retain support for the National Colorectal Cancer Roundtable’s call to action to reach 80% colorectal cancer screening

2020 ◽  
Author(s):  
Lisa Tussing-Humphreys ◽  
Joanna Buscemi ◽  
Jacqueline M Kanoon ◽  
Elizabeth A Watts ◽  
Karriem Watson ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Behavioral Medicine ◽  
Health Care Systems ◽  
Call To Action ◽  
Crc Screening ◽  
Screening Uptake ◽  
Legislative Action ◽  
The Third ◽  
Care Systems ◽  
The Usa

Abstract Colorectal cancer (CRC) remains the third most commonly diagnosed cancer and the third leading cause of cancer-related death in the USA. CRC can be prevented through regular screening and removal of precancerous polyps. However, roughly one third of eligible adults in the USA are not up to date with recommended CRC screening. To increase timely CRC screening uptake in the USA, in 2014, the National Colorectal Cancer Roundtable (NCCRT) launched 80% by 2018. This multilevel effort involved more than 1,500 pledged organizations targeting patients, providers, health care systems, and policymakers to increase U.S. CRC screening rates to 80% by 2018. Concurrent with this campaign, between 2012 and 2018, CRC screening rates increased nationwide by 3.6% from 65.2% to 68.8%, meaning that about 9.3 million more U.S. adults are being screened. NCCRT attributes these successes to widespread implementation of center- and system-wide evidence-based interventions to increase screening uptake, including direct patient communication, provider reminders via electronic health records, and patient navigation, among others. Moving beyond 2018, NCCRT has rebranded the initiative as the 80% Pledge and has since identified several targeted campaigns, including increased outreach to Hispanics, Latinos, and Asians, whose CRC screening uptake remains less than 50%; encouragement of Medicaid outreach activities around CRC screening in all 50 states; and advocacy for screening right at 50 years of age. Society of Behavioral Medicine continues to support NCCRT and encourages policymakers to do the same by taking legislative action to assure funding for Medicaid outreach, research innovations, and clinical quality improvement that supports the 80% Pledge.

scholarly journals Understanding the processes that Federally Qualified Health Centers use to select and implement colorectal cancer screening interventions: a qualitative study

2019 ◽  
Vol 10 (2) ◽  
pp. 394-403 ◽  
Author(s):  
Jennifer Leeman ◽  
Natoshia Askelson ◽  
Linda K Ko ◽  
Catherine L Rohweder ◽  
Jade Avelis ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Qualitative Study ◽  
Health Care Systems ◽  
Change Agents ◽  
Crc Screening ◽  
Implementation Processes ◽  
Factors Influencing ◽  
Effective Interventions ◽  
Care Systems ◽  
External Change Agents

Abstract Colorectal cancer (CRC) screening is highly effective at reducing cancer-related morbidity and mortality, yet screening rates remain suboptimal. Evidence-based interventions can increase screening rates, particularly when they target multiple levels (e.g., patients, providers, health care systems). However, effective interventions remain underutilized. Thus, there is a pressing need to build capacity to select and implement multilevel CRC screening interventions. We report on formative research aimed at understanding how Federally Qualified Health Center (FQHC) staff select and implement CRC screening interventions, which will inform development of capacity-building strategies. We report the qualitative findings from a study that used a mixed methods design, starting with a quantitative survey followed by a qualitative study. In-depth interviews were conducted with 28 staff from 14 FQHCs in 8 states. The Consolidated Framework for Implementation Research (CFIR) guided interview questions and data analysis. Related to the CFIR process domain, few respondents described conducting formal assessments of factors contributing to low screening rates prior to planning their interventions. Many described engaging champions, implementation leaders, and external change agents. Few described a systematic approach to executing implementation plans beyond conducting plan-do-study-act cycles. Reflection and evaluation consisted primarily of reviewing Uniform Data System performance measures. Findings also include themes related to factors influencing these implementation processes. Although FQHCs are implementing CRC screening interventions, they are not actively targeting the multilevel factors influencing their CRC screening rates. Our findings on gaps in FQHCs’ implementation processes will inform development of strategies to build capacity to select and implement multilevel CRC screening interventions.

scholarly journals Colorectal cancer screening interventions in 2 health care systems serving disadvantaged populations: Screening uptake and cost-effectiveness

Cancer ◽  
2018 ◽  
Vol 124 (21) ◽  
pp. 4130-4136 ◽  
Author(s):  
Christen L. Lara ◽  
Kelly L. Means ◽  
Krystal D. Morwood ◽  
Westley R. Lighthall ◽  
Sonja Hoover ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Systems ◽  
Screening Uptake ◽  
Disadvantaged Populations ◽  
Care Systems

Wide variability in colorectal cancer screening uptake by general practitioner: Cross-sectional study

2021 ◽  
pp. 096914132110357
Author(s):  
Cecilia Acuti Martellucci ◽  
Maria E Flacco ◽  
Margherita Morettini ◽  
Giusi Giacomini ◽  
Matthew Palmer ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Geographical Area ◽  
Central Italy ◽  
Cross Sectional Study ◽  
Local Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Crc Screening ◽  
Screening Uptake

Objectives Despite several interventions, colorectal cancer (CRC) screening uptake remains below acceptable levels in Italy. Among the potential determinants of screening uptake, only a few studies analysed the role of general practitioners (GPs). The aim was to evaluate the variation in screening uptake of the clusters of subjects assisted by single GPs. Setting Ancona province, Central Italy. Methods Cross-sectional study, including all residents aged 50–69 years, who were offered the public screening programme with biannual faecal immunochemical tests. Demographic (of all GPs) and screening data (of all eligible residents) for years 2018–2019 were collected from the official electronic datasets of the Ancona Local Health Unit. The potential predictors of acceptable screening uptake, including GP's gender, age, and number of registered subjects, were evaluated using random-effect logistic regression, with geographical area as the cluster unit. Results The final sample consisted of 332 GP clusters, including 120,178 eligible subjects. The overall province uptake was 38.0% ± 10.7%. The uptake was lower than 30% in one-fifth of the GP clusters, and higher than 45% in another fifth. At multivariable analysis, the significant predictors of uptake were younger GP age ( p = 0.010) and lower number of registered subjects ( p < 0.001). None of the GP clusters with 500 subjects or more showed an uptake ≥45%. Conclusions The wide variation across GPs suggests they might substantially influence screening uptake, highlighting a potential need to increase their commitment to CRC screening. Further research is needed to confirm the role of the number of registered subjects.

Examining the Opportunities of Social Networking Adoption in the Health Care Systems

2015 ◽  
pp. 173-189
Author(s):  
Peldon
Keyword(s):  
Health Care ◽  
Social Network ◽  
Literature Review ◽  
Social Networking ◽  
Health Care Systems ◽  
Social Network Sites ◽  
Healthcare Systems ◽  
The Third ◽  
Healthcare Profession ◽  
Care Systems

Social Network Sites (SNSs) are known for providing the opportunity to quickly spread information faster than any other mode because of its ease of accessibility and ability to reach wider populations. The purpose of this chapter is to examine the opportunities of adopting Social Networking (SN) in the healthcare systems. Based on the current literature review, using a social network will enhance communication, collaboration, connection, coordination, and knowledge sharing. The healthcare profession of Bhutan undertook the survey for this study. Three new factors were generated from this study, namely 4Cs; it was found that the use of social networking enhances communication, coordination, collaboration, and connection with patients and among healthcare professionals. The second factor, Green and Sustainability, social networking enables the reduction of the carbon footprint, and the third factor is Exchange Knowledge via use of social networking.

scholarly journals What are the contextual risk factors for low colorectal cancer screening uptake in El Paso County, Texas? Spatial cross-sectional analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038342
Author(s):  
Jennifer Salinas ◽  
Jacquelyn Brito ◽  
Cheyenne Rincones ◽  
Navkiran K Shokar
Keyword(s):  
Colorectal Cancer ◽  
Census Tract ◽  
Hot Spot ◽  
El Paso ◽  
P Value ◽  
Hot Spot Analysis ◽  
Crc Screening ◽  
Screening Uptake ◽  
Fit Testing ◽  
Spot Analysis

ObjectiveThis study examines the geographical and socioeconomic factors associated with uptake of colorectal cancer (CRC) screening (colonoscopies or faecal immunochemical test (FIT) testing).DesignSecondary data analysis.SettingThe Against Colorectal Cancer in our Community (ACCION) programme was implemented in El Paso County, Texas, to increase screening rates among the uninsured and underinsured.ParticipantsWe successfully geocoded 5777 who were offered a free colonoscopy or FIT testing kit.Primary outcome measureCensus-tract CRC screening uptake average.ResultsMedicare recipient mortality (β=0.409, p-value=0.049) and % 65 years or older (β=−0.577, p value=0.000) were significant census tract contextual factors that were associated with the prevalence of CRC screening uptake in the geographically weighted Poisson regression. Neither Latino ethnicity nor immigrant concentration were significant predictors of CRC screening uptake in the ACCION programme. Hot spot analysis demonstrated that there was a significant low-value cluster in South Central El Paso. There was a similar hot spot for % 65 years or older in this same area, suggesting that uptake was lowest in an area that had the highest concentration of older adults.ConclusionThe results from this study revealed not only feasibility of hot spot analysis but also its utility in geographically tracking successful CRC screening uptake in cancer prevention and intervention programmes.

scholarly journals Economic Evaluation of Interventions to Increase Colorectal Cancer Screening at Federally Qualified Health Centers

2020 ◽  
Vol 21 (6) ◽  
pp. 877-883
Author(s):  
Florence K. L. Tangka ◽  
Sujha Subramanian ◽  
Sonja Hoover ◽  
Amy DeGroff ◽  
Djenaba Joseph ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Program Implementation ◽  
Cancer Control ◽  
Control Program ◽  
Evidence Base ◽  
Lessons Learned ◽  
Evidence Based ◽  
Crc Screening ◽  
Screening Uptake ◽  
Cancer Control Program

The Centers for Disease Control and Prevention (CDC) has a long-standing commitment to increase colorectal cancer (CRC) screening for vulnerable populations. In 2005, the CDC began a demonstration in five states and, with lessons learned, launched a national program, the Colorectal Cancer Control Program (CRCCP), in 2009. The CRCCP continues today and its current emphasis is the implementation of evidence-based interventions to promote CRC screening. The purpose of this article is to provide an overview of four CRCCP awardees and their federally qualified health center partners as an introduction to the accompanying series of research briefs where we present individual findings on impacts of evidence-based interventions on CRC screening uptake for each awardee. We also include in this article the conceptual framework used to guide our research. Our findings contribute to the evidence base and guide future program implementation to improve sustainability, increase CRC screening, and address disparities in screening uptake.

scholarly journals Factors Influencing Colorectal Cancer Screening Participation

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Z. Gimeno García
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Population Based ◽  
Average Risk ◽  
Major Health Problem ◽  
Crc Screening ◽  
Screening Uptake ◽  
Factors Influencing ◽  
Care System

Colorectal cancer (CRC) is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income) and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening). Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system) have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

HSR19-105: The Role of Chemotherapy in Elderly Colorectal Cancer Survivors: An Observational Study

2019 ◽  
Vol 17 (3.5) ◽  
pp. HSR19-105
Author(s):  
Pamala A. Pawloski ◽  
Gabriela Vazquez-Benitez ◽  
Jeanette Y. Ziegenfuss ◽  
Terese A. DeFor ◽  
Elisabeth M. Seburg
Keyword(s):  
Colorectal Cancer ◽  
Observational Study ◽  
Cancer Survivors ◽  
Health Care Systems ◽  
Cancer Registries ◽  
Factors Associated ◽  
Colon Cancers ◽  
Chart Abstraction ◽  
Care Systems ◽  
Chemotherapy Initiation

Background: Older patients diagnosed with colorectal cancer are not routinely included in clinical trials and are frequently treated with less aggressive chemotherapy. To identify factors associated with treatment initiation in older adults, we conducted an observational study of patients diagnosed with stage I–IV colon or rectal cancer at 65 years and older between 2010 and 2014 across 6 integrated health care systems. Methods: Data were obtained from cancer registries based on chart abstraction and medical records. Time from diagnosis to surgery, chemotherapy, and radiation was measured in weeks and censored when disenrollment, death, or the end of the study period occurred. We assessed patient factors associated with time to chemotherapy initiation using survival analysis methods. Results: Among 8,088 patients diagnosed after the age of 65 with colon cancer, the mean age at diagnosis was 76 years (SD 7.7), 4,150 (51%) were female, and 34% were stage 3 or greater. More than half, 55% (n=4,434) of colon cancers were right-sided (RCC), 23% (n=1833) were left-sided (LCC), and 19% (n=1,559) were rectal cancers. Two-thirds (n=5,201) had moderately differentiated disease. Most (57%) received surgery within 4 weeks and 89% within 6 months of diagnosis (median, 3.4 weeks). At 6 months following diagnosis, 33% of patients had received chemotherapy, and only 4% received radiation. Factors associated with the receipt of chemotherapy were assessed in a multivariable survival model that included age, gender, stage, and site. Patients of older age were less likely to receive chemotherapy (HR, 0.49; 95%CI, 0.45–.53 for 75–79 vs 65–69 years), and more likely for advanced stage, and rectal site. No difference was observed between men and women. Refusal of chemotherapy was reported for only 6% of patients and was associated with age, stage, and site. Six month mortality was 13.3%. Conclusions: Factors associated with the receipt of treatment among older cancer survivors are similar to those in the general population.

The Corporatization of Health Care: An Evaluation and An Alternative

1996 ◽  
Vol 9 (2) ◽  
pp. 107-114 ◽  
Author(s):  
K. Jacobs ◽  
V. Nilakant
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Work Organization ◽  
Corporate Form ◽  
Care Systems ◽  
The Usa ◽  
The Impact ◽  
Medical Task

The corporatization of health care organizations has become a significant international trend. This paper examines that trend, comparing the development of corporate health care in the USA with the impact of the New Zealand health reforms. The paper traces the evolution of the organizations of health care systems and explains the emergence of the corporate form. We argue that the corporate model of work organization is unsuited to the complex and ambiguous nature of the medical task as it ignores inherent interdependencies. An alternative is needed which addresses work practices rather than just participation in decision making and is based on a concept of mutual interdependence and support in the execution of work.

Sign in / Sign up

Export Citation Format

Share Document