Increasing Colorectal Cancer Screening for Low-Income Patients
Author Information
Author(s): Redwood Diana MS, MPH, Holman Larry MS, Zandman-Zeman Sharon RN, MSW, Hunt Tom MD, Besh Leah, Katinszky Wanda RN, MSW
Primary Institution: Anchorage Neighborhood Health Center
Hypothesis
Can a partnership between a nonprofit and a community health center increase colorectal cancer screening among low-income uninsured patients?
Conclusion
The program successfully increased colorectal cancer screening rates among low-income and uninsured patients through community collaboration.
Supporting Evidence
- 2,561 immunochemical fecal occult blood tests were given to patients, with a 61% completion rate.
- 24% of completed tests were positive for fecal occult blood.
- 111 follow-up colonoscopies were provided to patients identified through the screening program.
Takeaway
This study shows that working together with different organizations can help more people get checked for colon cancer, especially those who can't afford it.
Methodology
The study involved a partnership that provided free or reduced-cost colorectal cancer screening services to low-income patients, including outreach and follow-up care.
Potential Biases
Concerns from medical practice managers about increased workload and patient follow-up may affect participation.
Limitations
The program's sustainability depends on annual fundraising, which may limit its duration and scope.
Participant Demographics
The patient population is ethnically diverse, with 58% at or below the federal poverty level, and includes a higher percentage of women (56%) than men (44%).
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