ArticleAmerican journal of preventive medicine2018
Challenges Implementing Lung Cancer Screening in Federally Qualified Health Centers.
Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Opportunities and Challenges When Using the Electronic Health Record for Practice-Integrated Patient-Facing Interventions: The e-Assist Colon Health Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Trends in lung cancer incidence and mortality and the potential for overdiagnosis associated with computed tomography screening across 21 countries on six continents.Journal of thoracic disease · 2026Article
- Over- and underscreening for lung cancer.Translational lung cancer research · 2026Review
- Ready, Set, Screen: Evaluating Community Readiness for Lung Cancer Screening Among Non-Hispanic Black Populations in Florida: Brief Report.JTO clinical and research reports · 2026Article
- "I Was Expecting the Worst": Exploring Barriers and Facilitators to Lung Cancer Screening in Black and Hispanic Communities.Journal of general internal medicine · 2026Article
- Assessing Factors Associated With Patient-Provider Discussions About Lung Cancer Screening Using Andersen's Behavioral Model of Health Services Utilization.Clinical lung cancer · 2025Article
- Effectiveness of Technology-Based Interventions in Promoting Lung Cancer Screening Uptake and Decision-Making Among Patients.International journal of environmental research and public health · 2025Review
- The Role of Federally Qualified Health Centers in Achieving Equitable Cancer Screening.Journal of the American College of Radiology : JACR · 2025Article
- Review
- Pack-Year Smoking History: An Inadequate and Biased Measure to Determine Lung Cancer Screening Eligibility.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Characteristics of lung cancer screening eligible population in the US and prediction of the eligibility with simplified criteria.Translational cancer research · 2024Article
- Examination of provider knowledge, attitudes, and behaviors associated with lung cancer screening among Black men receiving care at a federally qualified health center.Qualitative research in medicine & healthcare · 2023Article
- Changing recommendations for lung cancer screening: National Lung Cancer Roundtable member perspectives.Cancer · 2023Article
- A protocol for a cluster randomized trial of care delivery models to improve the quality of smoking cessation and shared decision making for lung cancer screening.Contemporary clinical trials · 2023Article
- Article
- Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Lung Cancer Screening Eligibility and Referral Practices in Texas Organizations Serving People with Substance Use Disorders.Cancers · 2023Article
- Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2023Article
- Using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to study adaptations in lung cancer screening delivery in the Veterans Health Administration: a cohort study.Implementation science communications · 2023Article
- A narrative review of lung cancer screening in underserved populations.Current challenges in thoracic surgery · 2023Article
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7 authors.
Funding
Abstract
introductionThe purpose of this study is to identify issues faced by Federally Qualified Health Centers (FQHCs) in implementing lung cancer screening in low-resource settings.
methodsMedical directors of 258 FQHCs serving communities with tobacco use prevalence above the median of all 1,202 FQHCs nationally were sampled to participate in a web-based survey. Data were collected between August and October 2016. Data analysis was completed in June 2017.
resultsThere were 112 (43%) FQHC medical directors or surrogates who responded to the 2016 survey. Overall, 41% of respondents were aware of a lung cancer screening program within 30 miles of their system's largest clinic. Although 43% reported that some providers in their system offer screening, it was typically at a very low volume (less than ten/month). Although FQHCs are required to collect tobacco use data, only 13% indicated that these data can identify patients eligible for screening. Many FQHCs reported important patient financial barriers for screening, including lack of insurance (72%), preauthorization requirements (58%), and out-of-pocket cost burdens for follow-up procedures (73%). Only 51% indicated having adequate access to specialty providers to manage abnormal findings, and few reported that leadership had either committed resources to lung cancer screening (12%) or prioritized lung cancer screening (12%).
conclusionsFQHCs and other safety-net clinics, which predominantly serve low-socioeconomic populations with high proportions of smokers eligible for lung cancer screening, face significant economic and resource challenges to implementing lung cancer screening. Although these vulnerable patients are at increased risk for lung cancer, reducing patient financial burdens and appropriately managing abnormal findings are critical to ensure that offering screening does not inadvertently lead to harm and increase disparities.
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