Colorectal cancer screening among the medically underserved

Journal of Health Care for the Poor and Underserved
Michael S WolfPadmanabhan Mukundan

Abstract

Prevalence of physician recommendation and patient completion of colorectal cancer screening was investigated among Federally Qualified Health Centers (FQHC) serving low-income neighborhoods in Chicago. Medical records of 3,416 patients receiving primary care services at 1 of 31 FQHCs were randomly chosen for review. In all, 642 patients were identified by age and family history as eligible for colorectal cancer screening and included in this study. Patient demographic information and colorectal cancer screening history were collected. The physician screening recommendation rate was 9.2% (n=59); 7.0% (n=45) of patients were determined to have been appropriately screened for colorectal cancer, primarily by Fecal Occult Blood Test (94.1%, n=43). Among patients who received a recommendation from their physician, 76.2% had completed a screening test. Older patients were more likely than their younger counterparts to have received a recommendation from their physician (p<.05) and to have been screened (p<.01). Organizational interventions are needed to support physicians in medically underserved areas and to promote recommended screening practices.

Citations

Sep 14, 2007·Journal of General Internal Medicine·Michael S WolfGregory Makoul
Sep 17, 2013·Cancer·Terry DavisMichael Wolf
Mar 4, 2008·Gastroenterology Clinics of North America·Mitchell S Cappell
Mar 4, 2008·Gastroenterology Clinics of North America·Mitchell S Cappell
Aug 15, 2013·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Clement K GwedeUNKNOWN Tampa Bay Community Cancer Network (TBCCN) Partners
Jul 5, 2012·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Terry C DavisMichael S Wolf
May 1, 2015·American Journal of Respiratory and Critical Care Medicine·Nichole T TannerGerard A Silvestri
Jan 15, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Sian K SmithKirsten J McCaffery
Nov 18, 2018·Translational Behavioral Medicine·Jennifer K CouryGloria D Coronado
Oct 31, 2019·Journal of Racial and Ethnic Health Disparities·Juan Jose GonzalezOrimisan S Adekolujo
Dec 5, 2019·Journal of Health Communication·Megan Johnson ShenCarma L Bylund

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