A Primary-Care Based Colorectal Cancer Screening Program

以初级保健为基础的结直肠癌筛查计划

• 批准号: 7022250
• 负责人: CYNTHIA W KO
• 金额: $ 15.91万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-01 至 2008-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7022250
• 关键词: automated medical record system; cancer prevention; clinical research; colorectal neoplasms; data collection methodology /evaluation; diagnostic tests; endoscopy; feces analysis; gastrointestinal imaging /visualization; health care service utilization; human subject; managed care; neoplasm /cancer diagnosis; neoplasm /cancer education; patient oriented research; primary care physician; questionnaires

DESCRIPTION (provided by applicant): Colorectal cancer is the second leading cause of cancer death in the United States. Colorectal cancer screening is widely recommended but generally under-utilized. Previous studies have shown that only a minority of people over the age of 50 is screened for colorectal cancer with either focal occult blood testing or flexible sigmoidoscopy. Barriers to screening include patient and provider-related factors. In particular, patients who are not screened report some misconceptions, lack of knowledge or inconsistent provider recommendations about screening. Additionally, there are many barriers to providers recommending screening, including failure to recognize that screening tests are needed, lack of time for counseling and education about screening, and insufficient support to provide colorectal cancer screening tests. An alternate program to support primary care providers in providing necessary education about colorectal cancer screening, to provide reminders when screening tests are due, and to facilitate requesting and follow-up of screening tests may help address some of these barriers to providing screening services. We will develop and implement a primary care based colorectal cancer screening program to supplement clinical services provided in a primary care practice network. This network uses an electronic medical record and has established referral patterns for gastrointestinal endoscopy services, radiology, and pathology. In the proposed screening program, we will develop a colorectal cancer-screening module to supplement the existing electronic medical record. Information from this module will be obtained from patients and from prior medical records. This system will enable providers to review risk factors for colorectal cancer, prior screening history, and need for future screening in one easily accessible location. The information provided by this module will be supplemented by the services of a cancer prevention specialist. This person will oversee enrollment of patients into the program, provide patient education about colorectal cancer screening, and facilitate ordering or referral for screening or follow-up tests. Outcome measures will include utilization of screening rates, patient knowledge about screening tests, and provider acceptance of the program. If successful, this program may be useful to other large primary care practices, and may also help to improve utilization of other types of cancer prevention services

描述（由申请人提供）：结直肠癌是美国癌症死亡的第二大原因。结直肠癌筛查被广泛推荐，但通常没有得到充分利用。先前的研究表明，只有少数50岁以上的人通过局灶潜血检查或乙状结肠镜检查来筛查结直肠癌。筛查的障碍包括与患者和提供者有关的因素。特别是，未接受筛查的患者报告了一些关于筛查的误解，缺乏知识或不一致的提供者建议。此外，对于建议筛查的提供者来说，还有许多障碍，包括没有认识到筛查测试的必要性，缺乏时间进行筛查咨询和教育，以及提供结直肠癌筛查测试的支持不足。支持初级保健提供者提供有关结直肠癌筛查的必要教育，在筛查测试到期时提供提醒，并促进筛查测试的请求和后续工作的替代方案可能有助于解决提供筛查服务的一些障碍。