Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states
| Autor: | Tu, Shin-Ping, Young, Vicki M, Coombs, Letoynia J, Williams, Rebecca S, Kegler, Michelle C, Kimura, Amanda T, Risendal, Betsy C, Friedman, Daniela B, Glenn, Beth A, Pfeiffer, Debbie J, Fernandez, Maria E |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Aging Oncology and Carcinogenesis adaptive reserve Young Adult primary care Clinical Research Behavioral and Social Science Humans best practices Oncology & Carcinogenesis Healthcare Disparities implementation Early Detection of Cancer Aged disparities Cancer Data Collection Prevention Community Health Centers Middle Aged Health Services United States Colo-Rectal Cancer Good Health and Well Being Practice Guidelines as Topic Public Health and Health Services Colorectal Neoplasms Digestive Diseases |
| Zdroj: | Cancer, vol 121, iss 8 |
| Popis: | BackgroundEnhancing the capability of community health centers to implement best practices (BPs) may mitigate health disparities. This study investigated the association of practice adaptive reserve (PAR) with the implementation of patient-centered medical home (PCMH) colorectal cancer (CRC) screening BPs at community health center clinics in 7 states.MethodsA convenience sample of clinic staff participated in a self-administered, online survey. Eight PCMH CRC screening BPs were scored as a composite ranging from 0 to 32. The PAR composite score was scaled from 0 to 1 and then categorized into 3 levels. Multilevel analyses examined the relation between PAR and self-reported implementation of PCMH BPs.ResultsThere were 296 respondents, and 59% reported 6 or more PCMH BPs at their clinics. The mean PAR score was 0.66 (standard deviation, 0.18), and the PCMH BP mean scores were significantly higher for respondents who reported higher clinic PAR categories. In comparison with the lowest PAR level, adjusted PCMH BP means were 25.0% higher at the middle PAR level (difference, 3.2; standard error, 1.3; t = 2.44; P = .015) and 63.2% higher at the highest PAR level (difference, 8.0; standard error, 1.9; t = 4.86; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|