Examining Factors Influencing Colorectal Cancer Screening of Rural Nebraskans Using Data from Clinics Participating in an Accountable Care Organization: A Study Protocol

F1000Research
Lufei YoungLi-Wu Chen

Abstract

Although mortality rates of colorectal cancer (CRC) can be significantly reduced through increased screening, rural communities are still experiencing lower rates of screening compared to urban counterparts. Understanding and eliminating barriers to cancer screening will decrease cancer burden and lead to substantial gains in quality and quantity of life for rural populations. However, existing studies have shown inconsistent findings and fail to address how contextual and provider-level factors impact CRC screening in addition to individual-level factors. The purpose of the study is to examine multi-level factors related to CRC screening, and providers' perception of barriers and facilitators of CRC screening in rural patients cared for by accountable care organization (ACO) clinics. This is a convergent mixed method design. For the quantitative component, multiple data sources, such as electronic health records (EHRs), Area Resource File (ARF), and provider survey data, will be used to examine patient-, provider-, clinic-, and county-level factors. About 21,729 rural patients aged between 50 and 75 years who visited the participating ACO clinics in the past 12 months are included in the quantitative analysis. The qualitative ...Continue Reading

References

Feb 10, 2004·Preventive Medicine·K Allen GreinerEdward F Ellerbeck
Jun 15, 2007·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Walter F YoungJohn M Westfall
May 5, 2010·Health Affairs·Thomas Bodenheimer, Hoangmai H Pham
May 5, 2010·Health Affairs·Mark McClellanElliott S Fisher
Dec 21, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Howard K RabinowitzAbbie J Santana
Jan 6, 2011·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·A Clinton MackinneyTimothy D McBride
Jan 18, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jane M ZapkaSarah C Kobrin
Nov 17, 2011·CA: a Cancer Journal for Clinicians·Mona SarfatyRobert Smith
Dec 23, 2011·Gastroenterology Research and Practice·Antonio Z Gimeno García
Feb 22, 2012·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Dana J LukinKatherine N Duhamel
Apr 11, 2012·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Ernesto A MoralezBeti Thompson
May 10, 2012·Journal of the American Board of Family Medicine : JABFM·Thad WilkinsRobert R Schade
Jan 8, 2013·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Stephanie B Jilcott PittsTimothy L Fitzgerald
May 15, 2013·The American Journal of Gastroenterology·Jennifer M WeissPatrick R Pfau
Jan 7, 2015·CA: a Cancer Journal for Clinicians·Rebecca L SiegelAhmedin Jemal

❮ Previous
Next ❯

Citations

Jul 8, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Hongmei WangLi-Wu Chen

❮ Previous
Next ❯

Software Mentioned

REDCap
NVivo
QSR NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.