Framework and Strategies to Eliminate Disparities in Colorectal Cancer Screening Outcomes.

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_D9245D837835
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Framework and Strategies to Eliminate Disparities in Colorectal Cancer Screening Outcomes.
Journal
Annual review of medicine
Author(s)
Doubeni C.A., Selby K., Gupta S.
ISSN
1545-326X (Electronic)
ISSN-L
0066-4219
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Preventable differences in colorectal cancer (CRC) mortality across racial/ethnic, economic, geographic, and other groups can be eliminated by assuring equitable access and quality across the care continuum, but few interventions have been demonstrated to do so. Multicomponent strategies designed with a health equity framework may be effective. A health equity framework takes into account social determinants of health, multilevel influences (policy, community, delivery, and individual levels), screening processes, and community engagement. Effective strategies for increasing screening uptake include patient navigation and other interventions for structural barriers, reminders and clinical decision support, and data to continuously track metrics and guide targets for improvement. Community resource gaps should be addressed to assure high-quality services irrespective of racial/ethnic and socioeconomic status. One model combines population-based proactive outreach screening with delivery screening at in-person or virtual points of contact, as well as community engagement. Patient- and provider-based behavioral interventions may be considered for increasing screening demand and delivery. Providing a choice of screening tests is recommended for CRC screening, and access to colonoscopy is required for completion of the CRC screening process. Expected final online publication date for the Annual Review of Medicine, Volume 72 is January 27, 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
Pubmed
Create date
28/11/2020 10:09
Last modification date
01/12/2020 6:26
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