Influence of Patient-Provider Communication on Colorectal Cancer Screening

Bibliographic Data

ID9096039
AuthorsPatricia Carcaise-Edinboro, Patricia Carcaise‐Edinboro (Virginia Commonwealth University, corresponding author), Cathy J Bradley (0000-0001-8586-8009)
Year2008
Volume46
Issue7
Pages738-745
Publication date2008-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e318178935a
PMID18580394
OpenAlexW2001150829
LanguageEN
Citations received17
References cited32

BACKGROUND: Screening reduces incidence and mortality from colorectal cancer (CRC). Despite improved access, screening is suboptimal and disparate among minority groups. Quality of patient-provider communication may impact CRC screening. OBJECTIVES: We examined the relationship between patient-provider communication and socioeconomic variables on the receipt of CRC screening using data from the Medical Expenditure Panel Survey. SUBJECTS: All persons age 50 years or older (N = 8488). MEASURES: Dependent measures were receipt of CRC screening, fecal occult blood testing, and colonoscopy or sigmoidoscopy. Independent variables included demographic characteristics, patient language, and patient-provider communication measures from the Consumer Assessment of Health Plan survey. RESULTS: Patients who felt they had sufficient time with their healthcare provider were more likely to be screened for CRC. Receiving adequate explanation of healthcare needs from provider was a significant predictor of fecal occult blood testing screening. In addition, persons with less than a high school education, the uninsured, or those with low income were associated with reduced likelihood of receiving CRC screening. Asians and Hispanics had a significantly reduced likelihood of receiving screening in comparison with whites; however, after adjusting for language, no significant differences for race or ethnicity were observed. CONCLUSIONS: Adequate time with a healthcare provider and receiving sufficient explanation of the healthcare processes by providers may improve screening rates. Patient-provider communication may be improved by addressing language needs of non-English speaking patients. Overall improved communication may increase CRC screening rates in underserved populations

Cancer · Colorectal cancer · Colorectal Cancer Screening and Detection · Colorectal Cancer Surgical Treatments · Global Cancer Incidence and Screening · Internal Medicine · Medicine