TY - JOUR
T1 - Effectiveness and Cost of Implementing Evidence-Based Interventions to Increase Colorectal Cancer Screening Among an Underserved Population in Chicago
AU - Kim, Karen E.
AU - Tangka, Florence K.L.
AU - Jayaprakash, Manasi
AU - Randal, Fornessa T.
AU - Lam, Helen
AU - Freedman, David
AU - Carrier, Laurie A.
AU - Sargant, Coletta
AU - Maene, Chieko
AU - Hoover, Sonja
AU - Joseph, Djenaba
AU - French, Cynthia
AU - Subramanian, Sujha
N1 - Funding Information:
Funding support for RTI International was provided by the Centers for Disease Control and Prevention (CDC) (Contract No. 200-2014-61263 Task 4, to RTI International). The provision of data by the University of Chicago and Heartland Health Centers was supported through funding under a cooperative agreement with CDC. The findings and conclusions in this manuscript are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. There are no conflicts of interest to report.
Publisher Copyright:
© 2020 Society for Public Health Education.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - With funding from the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program, The University of Chicago Center for Asian Health Equity partnered with a federally qualified health center (FQHC) to implement multiple evidence-based interventions (EBIs) in order to improve colorectal cancer (CRC) screening uptake. The purpose of this study is to determine the effectiveness and cost of implementing a provider reminder system entered manually and supplemented with patient reminders and provider assessment and feedback. The FQHC collected demographic characteristics of the FQHC and outcome data from January 2015 through December 2015 (preimplementation period) and cost from January 2016 through September 2017 (implementation period). Cost data were collected for the implementation period. We report on the demographics of the eligible population, CRC screening order, completion rates by sociodemographic characteristics, and, overall, the effectiveness and cost of implementation. From the preimplementation phase to the implementation phase, there was a 21.2 percentage point increase in CRC screens completed. The total cost of implementing EBIs was $40908.97. We estimated that an additional 283 screens were completed because of the interventions, and the implementation cost of the interventions was $144.65 per additional screen. With the interventions, CRC screening uptake in Chicago increased for all race/ethnicity and demographic backgrounds at the FQHC, particularly for patients aged 50 to 64 years and for Asian, Hispanic, and uninsured patients.
AB - With funding from the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program, The University of Chicago Center for Asian Health Equity partnered with a federally qualified health center (FQHC) to implement multiple evidence-based interventions (EBIs) in order to improve colorectal cancer (CRC) screening uptake. The purpose of this study is to determine the effectiveness and cost of implementing a provider reminder system entered manually and supplemented with patient reminders and provider assessment and feedback. The FQHC collected demographic characteristics of the FQHC and outcome data from January 2015 through December 2015 (preimplementation period) and cost from January 2016 through September 2017 (implementation period). Cost data were collected for the implementation period. We report on the demographics of the eligible population, CRC screening order, completion rates by sociodemographic characteristics, and, overall, the effectiveness and cost of implementation. From the preimplementation phase to the implementation phase, there was a 21.2 percentage point increase in CRC screens completed. The total cost of implementing EBIs was $40908.97. We estimated that an additional 283 screens were completed because of the interventions, and the implementation cost of the interventions was $144.65 per additional screen. With the interventions, CRC screening uptake in Chicago increased for all race/ethnicity and demographic backgrounds at the FQHC, particularly for patients aged 50 to 64 years and for Asian, Hispanic, and uninsured patients.
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U2 - 10.1177/1524839920954162
DO - 10.1177/1524839920954162
M3 - Article
C2 - 32990041
AN - SCOPUS:85091730435
SN - 1524-8399
VL - 21
SP - 884
EP - 890
JO - Health promotion practice
JF - Health promotion practice
IS - 6
ER -