Format

Send to

Choose Destination
Health Educ Behav. 2015 Feb;42(1):26-31. doi: 10.1177/1090198114537061. Epub 2014 Jun 20.

Clinical perspectives on colorectal cancer screening at Latino-serving federally qualified health centers.

Author information

1
Kaiser Permanente Center for Health Research, Portland, OR, USA gloria.d.coronado@kpchr.org.
2
Kaiser Permanente Center for Health Research, Portland, OR, USA.
3
Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Abstract

PURPOSE:

Colorectal cancer is the second most common cause of cancer death in the United States, and rates of screening for colorectal cancer are low. We sought to gather the perceptions of clinic personnel at Latino-serving Federally Qualified Health Centers (operating 17 clinics) about barriers to utilization of screening services for colorectal cancer.

METHOD:

We conducted one-on-one interviews among 17 clinic personnel at four Latino-serving Federally Qualified Health Center networks in Oregon. All interviews were recorded, transcribed, and coded, and themes were grouped by influences at three levels: the patient, the organization, and the external environment.

RESULTS:

Estimated proportions of eligible patients who are underscreened for colorectal cancer ranged from 20% to 70%. Underscreening was thought to occur among low-income, underinsured, and undocumented patients and patients having multiple health concerns. Limited funding to pay for follow-up testing in patients with positive screens was cited as the key factor contributing to underscreening.

CONCLUSIONS:

We identified health care provider perceptions about the underutilization of screening services for colorectal cancer; our findings may inform future efforts to promote guideline-appropriate cancer screening.

KEYWORDS:

cancer prevention and screening; health behavior; health disparities; health promotion; qualitative methods; race/ethnicity; social determinants; training health professionals

PMID:
24952378
PMCID:
PMC4745651
DOI:
10.1177/1090198114537061
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center