ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011
Systems strategies to support cancer screening in U.S. primary care practice.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Trial
- When should electronic medical records reminders for cancer screening stop?-Results from a national physician survey.Journal of the American Geriatrics Society · 2023Trial
- Primary Care Practitioner Perceptions on the Follow-up of Abnormal Cancer Screening Test Results.JAMA network open · 2022Trial
- Impact of an educational tool on young women's knowledge of cervical cancer screening recommendations.Cancer causes & control : CCC · 2022Trial
- Telephone interventions in adherence to receiving the Pap test report: a randomized clinical trial.Revista latino-americana de enfermagem · 2017Trial
- The validation of electronic health records in accurately identifying patients eligible for colorectal cancer screening in safety net clinics.Family practice · 2016Trial
- Physicians, clinics, and neighborhoods: multiple levels of influence on colorectal cancer screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- Availability of Women's Health Clinics, Primary Care Providers, and Women Veterans' Ratings of Care Experiences.Journal of general internal medicine · 2025Article
- Implementation of Health IT for Cancer Screening in US Primary Care: Scoping Review.JMIR cancer · 2024Article
- Rural-urban disparities in preventive breast and cervical cancer screening among women with early-onset dementia.BMC women's health · 2023Article
- Provider and patient perspectives to improve lung cancer screening with low-dose computed tomography 5 years after Medicare coverage: a qualitative study.BMC primary care · 2022Article
- Geographic distribution of colonoscopy providers in the United States: An analysis of medicare claims data.Surgical endoscopy · 2022Article
- Evaluating Uptake of Evidence-Based Interventions in 355 Clinics Partnering With the Colorectal Cancer Control Program, 2015-2018.Preventing chronic disease · 2022Article
- Variation in the receipt of human papilloma virus co-testing for cervical screening: Individual, provider, facility and healthcare system characteristics.Preventive medicine · 2022Article
- Breast Density Awareness and Knowledge in a Mammography Screening Cohort of Predominantly Hispanic Women: Does Breast Density Notification Matter?Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- Direct notification of cervical cytology results to women improves follow-up in cervical cancer screening - A cluster-randomised trial.Preventive medicine reports · 2019Article
- A Qualitative Study of Spanish-Speakers' Experience with Dense Breast Notifications in a Massachusetts Safety-Net Hospital.Journal of general internal medicine · 2019Article
- Health professionals' perspectives on breast cancer risk stratification: understanding evaluation of risk versus screening for disease.Public health reviews · 2019Review
- Multi-level Influences on Breast Cancer Screening in Primary Care.Journal of general internal medicine · 2018Article
- Colorectal cancer screening in the United States: Trends from 2008 to 2015 and variation by health insurance coverage.Preventive medicine · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundAlthough systems strategies are effective in improving health care delivery, little is known about their use for cancer screening in U.S. primary care practice.
methodsWe assessed primary care physicians' (N = 2,475) use of systems strategies for breast, cervical, and colorectal cancer (CRC) screening in a national survey conducted in 2007. Systems strategies included patient and physician screening reminders, performance reports of screening rates, electronic medical records, implementation of in-practice guidelines, and use of nurse practitioners/physician assistants. We evaluated use of both patient and physician screening reminders with other strategies in separate models by screening type, adjusted for the effects of physician and practice characteristics with multivariate logistic regression.
resultsFewer than 10% of physicians used a comprehensive set of systems strategies to support cancer screening; use was greater for mammography and Pap testing than for CRC screening. In adjusted analyses, performance reports of cancer screening rates, medical record type, and in-practice guidelines were associated with use of both patient and physician screening reminders for mammography, Pap testing, and CRC screening (P < 0.05).
conclusionDespite evidence supporting use of systems strategies in primary care, few physicians report using a comprehensive set of strategies to support cancer screening. IMPACT: Current health policy initiatives underscore the importance of increased implementation of systems strategies in primary care to improve the use and quality of cancer screening in the United States.
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