A Provider Intervention to Improve Colorectal Cancer Screening in County Health Centers
Bibliographic Data
| ID | 9101018 |
|---|---|
| Authors | Dorothy S Lane (0000-0003-3272-0451, Stony Brook School), Catherine R Messina (0000-0002-0266-0155, Stony Brook School), Mary F Cavanagh (Stony Brook School), John J Chen (0000-0003-3644-7528, Stony Brook School) |
| Year | 2008 |
| Volume | 46 |
| Issue | 9 |
| Pages | S109-S116 |
| Publication date | 2008-09-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31817d3fcf |
| PMID | 18725822 |
| OpenAlex | W2006001050 |
| Language | EN |
| Citations received | 4 |
| References cited | 34 |
BACKGROUND: Publicly-funded health centers serve disadvantaged populations who underuse colorectal cancer screening (CRC). Because physicians play a key role in patient adherence to screening, provider interventions within health center practices could improve the delivery/utilization of CRC screening. METHODS: A 2-group study design was used with 4 pairs of health centers randomized to the intervention or control condition. The provider intervention featured academic detailing of the small practice groups, followed by a strategic planning session with the entire health center staff using SWOT analysis. The outcome measure of provider endoscopy referral/fecal occult blood test dispensing and/or completion of CRC screening was determined by medical record audit (n = 2224). The intervention effect was evaluated using generalized estimating equations. Pre-post intervention patient surveys (n = 281) were conducted. RESULTS: Chart audits of the 1 year period before and after the intervention revealed a 16% increase from baseline in CRC screening referral/dispensing/completion among intervention centers, compared with a 4% increase among controls, odds ratio (OR) = 2.25 (1.67-3.04) P < 0.001. Intervention versus control health center patient self-reports of lack of physician recommendation as a reason for not having CRC screening declined from baseline to follow-up (P = 0.04). CONCLUSIONS: Provider referrals/dispensing/completion of CRC screening within health centers was significantly improved and barriers reduced through a provider intervention combining continuing medical education with a team building strategic planning exercise
Audit · Cancer · Cancer screening · Family medicine · Intervention (counseling) · Odds ratio · Psychological intervention · Randomized controlled trial · Referral · Colorectal Cancer Screening and Detection · Colorectal Cancer Surgical Treatments · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Nursing
| Unique citing works | 4 |
|---|---|
| Citations per year | 0,22 |
| Citation span | 2008 - 2015 (8) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |