Startup and implementation costs of a colorectal cancer screening tailored navigation research study.
Startup and implementation costs of a colorectal cancer screening tailored navigation research study.
复制标题
结直肠癌筛查定制导航研究的启动和实施成本。
DOI：
10.1016/j.evalprogplan.2021.101907
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发表时间：
2021-04
影响因子：
1.6
通讯作者：
Szalacha L
中科院分区：
文献类型：
--
作者：
Bucho-Gonzalez J;Herman PM;Larkey L;Menon U;Szalacha L
结直肠癌（CRC）是美国癌症相关死亡的第二大原因。尽管在筛查方面有所改进，但CRC检测在某些人群中未得到充分利用，这表明需要确定有效的检测推广策略。我们的干预措施指导来自低收入、服务不足社区的个人进入初级保健诊所接受CRC筛查转诊。社区网站被随机分配到教育或教育加导航。I期社区到诊所导航结局为诊所就诊; II期诊所到筛选导航结局为筛选完成。我们使用微观成本来确定在类似的非研究环境中复制我们的项目所需的成本。在为期4年的项目中，启动成本随着实施成本的增加而下降。启动成本的最大组成部分（占总数的32%）是社区网站招聘。导航组的每名上课者的实施成本（1084美元）高于对照组（798美元）。但是导航组中每个预约诊所的参与者（3573美元对6292美元）和每个完成筛选的参与者（4083美元对7640美元）的成本较低。我们对该干预措施的启动和实施成本的描述为决策者提供了规划和预算类似项目所需的信息，以引导社区个人进入诊所。
Colorectal cancer (CRC) is the second leading cause of cancer-related death in the United States. Despite improvements in screening, testing for CRC is underutilized in some populations, suggesting a need to identify efficient test promotion strategies. Our intervention guided individuals from low-income, underserved communities into primary care clinics to receive CRC screening referrals. Community sites were randomized to education or education plus navigation. The Phase I community-to-clinic navigation outcome was clinic attendance; the Phase II clinic-to-screening navigation outcome was screening completion. We used micro-costing to determine costs necessary to replicate our project in a similar, non-research setting. Over the 4-year project, startup costs tended to decrease as implementation costs increased. The largest component of startup costs (32% of total) was community site recruitment. Implementation costs per class attendee were higher in the navigation group ($1084) than control ($798). But costs per participant who made a clinic appointment ($3573 versus $6292) and per participant who completed screening ($4083 versus $7640) were lower in the navigation group. Our description of startup and implementation costs for this intervention provides decision makers with information needed to plan and budget for a similar project to guide individuals from community into clinics.
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影响因子：
3
作者：
Menon U;Szalacha LA;Belue R;Rugen K;Martin KR;Kinney AY
通讯作者：
Kinney AY
影响因子：
2.6
作者：
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通讯作者：
Kilgore, Meredith L.
影响因子：
3
作者：
Frick, Kevin D.
通讯作者：
Frick, Kevin D.
影响因子：
4.5
作者：
Kim, Bumyang;Lairson, David R.;Shokar, Navkiran K.
通讯作者：
Shokar, Navkiran K.
影响因子：
254.7
作者：
Ward, E;Jemal, A;Thun, M
通讯作者：
Thun, M