Colorectal cancer screening is underutilized.
To effect change, there must be an understanding of reasons for underuse at multiple levels of the health-care system.
Dr Jennifer Weiss from Wisconsin, USA evaluated patient, provider, and clinic factors that predict variation in colorectal cancer screening among primary-care clinics and primary-care providers.
The team analyzed electronic medical record data for 34,319 adults eligible for colorectal cancer screening, 19 clinics, and 97 primary-care providers in a large, academic physician group.
Detailed data on potential patient, provider, and clinic predictors of colorectal cancer screening were obtained from the electronic medical record.
Primary care providers perceptions of colorectal cancer screening barriers were measured via survey.
The team's outcome was completion of colorectal cancer screening at the patient level.
|71% of patients completed colorectal cancer screening|
|American Journal of Gastroenterology|
The researchers found that 71% of patients completed colorectal cancer screening.
Variation in screening rates was seen among clinics and among primary-care providers.
Significant predictors of completing colorectal cancer screening were identified at all levels, including patient, provider, and clinic.
The research team concluded, "Variation in colorectal cancer screening exists among primary-care clinics and providers within a single clinic."
"Predictors of variation can be identified at patient, provider, and clinic levels."
"Quality improvement interventions addressing colorectal cancer screening need to be directed at multiple levels of the health-care system."