Evidence map›Paper›PMID 30445511›Full record

ArticleTranslational behavioral medicine2020

Two Medicaid health plans' models and motivations for improving colorectal cancer screening rates.

Jennifer K Coury, Jennifer L Schneider, Beverly B Green, Laura-Mae Baldwin, Amanda F Petrik, Jennifer S Rivelli, Malaika R Schwartz, Gloria D Coronado

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Facilitation of Health Plan-Clinic Partnerships to Improve Colorectal Cancer Screening for Rural Medicaid Enrollees: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  4. Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation.Progress in community health partnerships : research, education, and action · 2024
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  5. Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics.Journal of the American Board of Family Medicine : JABFM · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer K CouryCareOregon, Inc., Quality Improvement, Portland, OR, USA.
Jennifer L SchneiderKaiser Permanente, Center for Health Research, Science Department, Portland, OR, USA.
Beverly B GreenKaiser Permanente Washington Health Research Institute, Science Department, Seattle, WA, USA.
Laura-Mae BaldwinUniversity of Washington, Department of Family Medicine, Seattle, WA, USA.
Amanda F PetrikKaiser Permanente, Center for Health Research, Science Department, Portland, OR, USA.
Jennifer S RivelliKaiser Permanente, Center for Health Research, Science Department, Portland, OR, USA.
Malaika R SchwartzUniversity of Washington, Department of Family Medicine, Seattle, WA, USA.
Gloria D CoronadoKaiser Permanente, Center for Health Research, Science Department, Portland, OR, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Strategies and Opportunities to Stop Colon Cancer in Priority PopulationsUH3CA188640 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORONADO, GLORIA D · 2014 to 2017
$6.1M
ACL HHS U48DP005013NCATS NIH HHS UL1 TR002319NCI NIH HHS UH3 CA188640
6 · The paper itself

Abstract

Screening rates for colorectal cancer (CRC) remain low, especially among certain populations. Mailed fecal immunochemical testing (FIT) outreach initiated by U.S. health plans could reach underserved individuals, while solving CRC screening data and implementation challenges faced by health clinics. We report the models and motivations of two health insurance plans implementing a mailed FIT program for age-eligible U.S. Medicaid and Medicare populations. One health plan operates in a single state with ~220,000 enrollees; the other operates in multiple states with ~2 million enrollees. We conducted in-depth qualitative interviews with key stakeholders and observed leadership and clinic staff planning during program development and implementation. Interviews were transcribed and coded using a content analysis approach; coded interview reports and meeting minutes were iteratively reviewed and summarized for themes. Between June and September 2016, nine participants were identified, and all agreed to the interview. Interviews revealed that organizational context was important to both organizations and helped shape program design. Both organizations were hoping this program would address barriers to their prior CRC screening improvement efforts and saw CRC screening as a priority. Despite similar motivations to participate in a mailed FIT intervention, contextual features of the health plans led them to develop distinct implementation models: a collaborative model using some health clinic staffing versus a centralized model operationalizing outreach primarily at the health plan. Data are not yet available on the models' effectiveness. Our findings might help inform the design of programs to deliver mailed FIT outreach.

Indexed as

Colorectal NeoplasmsMedicaidAgedEarly Detection of CancerHumansMass ScreeningMedicareMotivationUnited StatesCancer screeningDirect-mail FIT outreachHealth plansImplementationProgram designQualitative

Identifiers

PMID30445511
PMCPMC7295696

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.