Kishore Khankari|Milton Eder|Chandra Y. Osborn|Gregory Makoul|Marla L. Clayman|Silvia Skripkauskas|Linda Diamond-Shapiro|Dan Makundan|Michael S. Wolf
Improving Colorectal Cancer Screening Among the Medically Underserved: A Pilot Study within a Federally Qualified Health Center
Access Community Health Network|Access Community Health Network|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Access Community Health Network|Access Community Health Network|Northwestern University
colorectal cancer screening rates remain low especially among lowincome racialethnic minority groups pilottested physiciandirected strategy aimed improving rates recommendation patient colorectal cancer screening completion 1 federally qualified health center serving lowincome africanamerican hispanic patients colonoscopy specifically targeted single arm pretestposttest design urban 154 screeningeligible yet nonadherent primary care patients receiving care urban federally qualified health center 1 manually tracking screeningeligible patients 2 mailing patients physician letter brochure medical visits 3 health literacy training help physicians improve communication patients work resolution 4 establishing feedback loop routinely monitor patient compliance chart review whether patients received physician recommendation screening completion colorectal cancer screening test 12 months intervention physicians recorded patients qualitative reasons noncompliance preliminary costeffectiveness analysis screening promotion also conducted baseline screening rate 115 316 patients received recommendation physician 1year followup rates screening completion increased 279 percent p 001 physician recommendation increased 929 p 001 common reasons nonadherence included patient readiness 607 competing health problems 119 fear anxiety concerning procedure 83 total cost implementing intervention 4676 incremental costeffectiveness ratio intervention 106 per additional patient screened colonoscopy intervention appears feasible means improve colorectal cancer screening rates among patients served community health centers however attention patient decision making education may needed increase screening rates