Effectiveness and Cost of Implementing Evidence-Based Interventions to Increase Colorectal Cancer Screening Among an Underserved Population in Chicago
| Autor: | Manasi Jayaprakash, Cynthia French, Laurie A Carrier, Sujha Subramanian, Chieko Maene, David Freedman, Sonja Hoover, Coletta Sargant, Florence K. L. Tangka, Djenaba A. Joseph, Helen Lam, Fornessa Randal, Karen Kim |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Nursing (miscellaneous) Total cost Population Psychological intervention Vulnerable Populations Article 03 medical and health sciences Underserved Population 0302 clinical medicine Evidence based interventions medicine Humans Mass Screening 030212 general & internal medicine education Early Detection of Cancer Cost database Chicago education.field_of_study Evidence-Based Medicine 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged Health equity Colorectal cancer screening Family medicine Colorectal Neoplasms 0305 other medical science business |
| Zdroj: | Health Promot Pract |
| ISSN: | 1552-6372 1524-8399 |
| DOI: | 10.1177/1524839920954162 |
| Popis: | With funding from the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program, The University of Chicago Center for Asian Health Equity partnered with a federally qualified health center (FQHC) to implement multiple evidence-based interventions (EBIs) in order to improve colorectal cancer (CRC) screening uptake. The purpose of this study is to determine the effectiveness and cost of implementing a provider reminder system entered manually and supplemented with patient reminders and provider assessment and feedback. The FQHC collected demographic characteristics of the FQHC and outcome data from January 2015 through December 2015 (preimplementation period) and cost from January 2016 through September 2017 (implementation period). Cost data were collected for the implementation period. We report on the demographics of the eligible population, CRC screening order, completion rates by sociodemographic characteristics, and, overall, the effectiveness and cost of implementation. From the preimplementation phase to the implementation phase, there was a 21.2 percentage point increase in CRC screens completed. The total cost of implementing EBIs was $40908.97. We estimated that an additional 283 screens were completed because of the interventions, and the implementation cost of the interventions was $144.65 per additional screen. With the interventions, CRC screening uptake in Chicago increased for all race/ethnicity and demographic backgrounds at the FQHC, particularly for patients aged 50 to 64 years and for Asian, Hispanic, and uninsured patients. |
| Databáze: | OpenAIRE |
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