Nancy C. Dolan|Vanessa Ramirez?Zohfeld|Alfred Rademaker|Manuel Pedro Ramalho Ferreira|William L. Galanter|Jonathan Radosta|Milton Eder|Kenzie A. Cameron
The Effectiveness of a Physician-Only and Physician–Patient Intervention on Colorectal Cancer Screening Discussions Between Providers and African American and Latino Patients
Northwestern University|Northwestern University|Northwestern University|Northwestern University|University of Illinois at Chicago|University of Illinois Hospital & Health Sciences System|University of Illinois at Chicago|University of Illinois Hospital & Health Sciences System|University of Minnesota|Northwestern University
physician recommendation colorectal cancer crc screening critical facilitator screening completion providing patients choice screening options may increase crc screening completion particularly among racial ethnic minoritiesour purpose assess effectiveness physicianonly physicianpatient interventions increasing rates crc screening discussions compared usual carethis study quasiexperimental clinics allocated intervention usual care patients intervention clinics randomized receipt patient interventionpatients aged 50 75 years due crc screening receiving care either federally qualified health care center academic health center participated studyintervention physicians received continuous quality improvement communication skills training intervention patients watched educational video immediately appointmentrates patientreported 1 crc screening discussions 2 discussions one screening testthe physicianpatient intervention n 167 resulted higher rates crc screening discussions compared physicianonly intervention n 183 611 vs503 p 0008 usual care n 153 611 vs 340 p 003 discussions specific crc screening tests discussions one test occurred intervention arms usual care 446 vs 229 p 003 51 vs 20 p 0036 respectively discussion one test uncommon across arms 143 patients 284 reported discussion colonoscopy 21 42 reported discussion colonoscopy stool testscompared usual care physicianonly intervention physicianpatient intervention increased rates crc screening discussions yet discussions overwhelmingly focused solely colonoscopy underserved patient populations access colonoscopy may limited interventions encouraging discussions stool tests colonoscopy may needed