Primary Care Provider Perceptions of Colorectal Cancer Screening Barriers: Implications for Designing Quality Improvement Interventions
Joint Authors
Pfau, Patrick R.
Pickhardt, Perry J.
Schumacher, Jessica R.
Potvien, Aaron
Kim, David H.
Jacobs, Elizabeth A.
Smith, Maureen A.
Weiss, Jennifer M.
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-10
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Aims.
Colorectal cancer (CRC) screening is underutilized.
Increasing CRC screening rates requires interventions targeting multiple barriers at each level of the healthcare organization (patient, provider, and system).
We examined groups of primary care providers (PCPs) based on perceptions of screening barriers and the relationship to CRC screening rates to inform approaches for conducting barrier assessments prior to designing and implementing quality improvement interventions.
Methods.
We conducted a retrospective cohort study linking EHR and survey data.
PCPs with complete survey responses for questions addressing CRC screening barriers were included ( N = 166 PCPs; 39,430 patients eligible for CRC screening).
Cluster analysis identified groups of PCPs.
Multivariate logistic regression estimated odds ratios and 95% confidence intervals for predictors of membership in one of the PCP groups.
Results.
We found two distinct groups: (1) PCPs identifying multiple barriers to CRC screening at patient, provider, and system levels ( N = 75 ) and (2) PCPs identifying no major barriers to screening ( N = 91 ).
PCPs in the top half of CRC screening performance were more likely to identify multiple barriers than the bottom performers (OR, 4.14; 95% CI, 2.43–7.08).
Conclusions.
High-performing PCPs can more effectively identify CRC screening barriers.
Targeting high-performers when conducting a barrier assessment is a novel approach to assist in designing quality improvement interventions for CRC screening.
American Psychological Association (APA)
Weiss, Jennifer M.& Pickhardt, Perry J.& Schumacher, Jessica R.& Potvien, Aaron& Kim, David H.& Pfau, Patrick R.…[et al.]. 2017. Primary Care Provider Perceptions of Colorectal Cancer Screening Barriers: Implications for Designing Quality Improvement Interventions. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1156161
Modern Language Association (MLA)
Weiss, Jennifer M.…[et al.]. Primary Care Provider Perceptions of Colorectal Cancer Screening Barriers: Implications for Designing Quality Improvement Interventions. Gastroenterology Research and Practice No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1156161
American Medical Association (AMA)
Weiss, Jennifer M.& Pickhardt, Perry J.& Schumacher, Jessica R.& Potvien, Aaron& Kim, David H.& Pfau, Patrick R.…[et al.]. Primary Care Provider Perceptions of Colorectal Cancer Screening Barriers: Implications for Designing Quality Improvement Interventions. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1156161
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156161