ArticleJCO oncology practice2022
Cancer Screening Among Rural and Urban Clinics During COVID-19: A Multistate Qualitative Study.
Article in JCO oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Metropolitan/nonmetropolitan differences of the impact of COVID-19 on cancer survivors' care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Services Administration.Preventive medicine reports · 2025Article
- Telehealth for primary healthcare delivery in rural and remote contexts in high-income countries-a scoping review.mHealth · 2025Review
- Urban and Rural Differences in Cancer Treatment Disruption Among Patients With COVID-19: An Analysis of the US ASCO COVID-19 in Oncology Registry.Cancer medicine · 2025Article
- Thyroid Cancer Incidence During 2020 to 2021 COVID-19 Variant Waves.JAMA otolaryngology-- head & neck surgery · 2024Article
- Using Geospatial Analysis to Identify Priority Communities for Cervical Cancer Prevention in Texas.AJPM focus · 2024Article
- Barriers to and facilitators of implementing colorectal cancer screening evidence-based interventions in federally qualified health centers: a qualitative study.BMC health services research · 2024Article
- Cervical Cancer Screening Rates Among Rural and Urban Females, From 2019 to 2022.JAMA network open · 2024Article
- Meeting the needs of rural cancer patients in survivorship: Understanding the role of telehealth.The Australian journal of rural health · 2024Article
- Up-to-Date Breast, Cervical, and Colorectal Cancer Screening Test Use in the United States, 2021.Preventing chronic disease · 2023Article
- The 2020 US cancer screening deficit and the timing of adults' most recent screen: a population-based cross-sectional study.Family medicine and community health · 2023Article
- A Survey of Cancer Risk Behaviors, Beliefs, and Social Drivers of Health in New Hampshire and Vermont.Cancer research communications · 2023Article
- Impact of the COVID-19 Pandemic on Women's Health Care Access: A Cross-Sectional Study.Journal of women's health (2002) · 2022Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
purposeThe effects of COVID-19 have been understudied in rural areas. This study sought to (1) identify cancer screening barriers and facilitators during the pandemic in rural and urban primary care practices, (2) describe implementation strategies to support cancer screening, and (3) provide recommendations.
methodsA qualitative study was conducted (N = 42) with primary care staff across 20 sites. Individual interviews were conducted through videoconference from August 2020 to April 2021 and recorded, transcribed, and analyzed using deductive and inductive coding (hybrid approach) in NVivo 12 Plus. Practices included federally qualified health centers, tribal health centers, rural health clinics, hospital/health system-owned clinics, and academic medical centers across 10 states including urban (55%) and rural (45%) sites. Staff included individuals serving in the dual role of health care provider and administrator (21.4%), health care administrator (23.8%), physician (19.0%), advanced practice provider (11.9%), or resident (23.8%). The interviews assessed perceptions about cancer screening barriers and facilitators, implementation strategies, and future recommendations.
resultsParticipants reported multilevel barriers to cancer screening including policy-level (eg, elective procedure delays), organizational (eg, backlogs), and individual (eg, patient cancellation). Several facilitators to screening were noted, such as home-based testing, using telehealth, and strong partnerships with referral sites. Practices used strategies to encourage screening, such as incentivizing patients and providers and expanding outreach. Rural clinics reported challenges with backlogs, staffing, telehealth implementation, and patient outreach.
conclusionPrimary care staff used innovative strategies during the pandemic to promote cancer screening. Unresolved challenges (eg, backlogs and inability to implement telehealth) disproportionately affected rural clinics.
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Registered trials
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