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| Ranking |
Evidence-Based Practice |
| Description |
This program used a physician-directed intervention to improve rates of recommendation and colorectal cancer screening among medically underserved patients. The pilot study was implemented at a federally qualified health center that serves low-income African-American and Hispanic patients, and was available to patients over age 50 that were not in adherence with screening recommendations. The program used a physician-directed continuous quality improvement strategy to improve colorectal cancer screening rates. The strategy involves four components: 1) manually tracking eligible patients by age and screening status, 2) distributing a physician letter and patient education materials to eligible patients prior to their appointment, 3) informal training with physicians to review health literacy communication principals that help patients understand screening tests, address barriers, and develop a plan of action, and 4) establishing a feedback loop for the clinic to monitor improvement in screening completion and recommendation rates. |
| Goal / Mission |
The goal of this program is to increase provider recommendation and patient compliance with colorectal cancer screening at a federally qualified health center serving low-income patients. |
| Results / Accomplishments |
The pilot study was evaluated using a pre- and post-test design, comparing screening and recommendation rates at baseline and 1-year following the intervention. Screening rates significantly increased from 11.5% at baseline to 27.9% at follow-up (p < 0.001). Physician recommendation increased from 31.6% at baseline to 92.9% at follow-up (p < 0.001). The main reasons for nonadherence included patient readiness (60.7%), competing health problems (11.9%), and fear or anxiety concerning the procedure (8.3%). |
| Categories |
Health / Cancer
Health / Prevention & Safety
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| Organization(s) |
Feinberg School of Medicine, Access Community Health Network |
| Source |
Journal of General Internal Medicine |
| Date of Publication |
10/22/2007 |
| Date of Implementation |
2005 |
| Geographic Type |
Urban |
| Location |
City: Chicago, IL |
| Primary Contact |
Michael Wolf
Health Literacy and Learning Program
Feinberg School of Medicine
Northwestern University
676 N. St. Clair St., Suite 200
Chicago, IL 60611
(312) 695-0459
mswolf@northwestern.edu
http://www.healthliteracy.northwestern.edu/
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| For more details |
http://www.pubmedcentral.nih.gov/articlerender....
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| Target Audience |
Adults, Racial / Ethnic Minorities |
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