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Correlates of colorectal cancer screening rates in primary care clinics serving low income, medically underserved populations

Preventive Medicine Jul 21, 2019

Sharma KP, et al. - Using data (2015–2016) from the Centers for Disease Control and Prevention's Colorectal Cancer Control Program, experts examined correlations between clinic-level colorectal cancer screening rates in those serving low income, medically underserved populations, and clinic-level screening interventions, clinic traits and community contexts. The average screening rate of clinics was 36.3%. Client reminders had the greatest correlation with screening rates followed by lowering structural barriers, provider evaluation and feedback, and provider reminders. Increases in the number of evidence-based interventions (EBIs) correlated with steady elevations in the screening rate. In comparison to no EBI, screening rates were 16.4 percentage points greater in clinics with four EBIs. These results might aid clinics, particularly in low income, medically underserved communities, chose single or combinations of EBIs appropriate for their situations while bearing in mind costs.

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