Colorectal Cancer Screening Chart
Increasing colorectal cancer screening
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Evidence-based Strategies |
Target Population
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Activities in other States |
Activities in Minnesota/sponsoring organization |
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INCREASING DEMAND
Recommended for breast (Br), cervical (Ce) and/or colorectal (Co) cancer
- Client reminders (Br/Ce/Co)
- Small media, e.g., videos, letters, brochures (Br/Ce/Co)
- One-on-one education (Br/Ce)
Insufficient evidence
· Client incentives alone
· Mass media alone
· Group education
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NOTE: 62% age 50+ screened in Minnesota
Insured (%?)
Medicare (%)
Un/underinsured (29%)
Ethnic-specific (38% among American Indians; % among other groups?)
High risk (%)
Rural (57%)
50-64: 57%
Males: 61%
< H.S., rural: 46% |
Distribute small media to organizations serving age-eligible persons (AARP, Medicare)
Health fairs
Print/radio/television advertising
Speaker's bureau
Targeted mailings through health plans, Medicare lists, worksites
Provider/health plan calls |
Mn Cancer Screening Bill
UCare targeted mailing
Get your rear in gear
Cancer Free Zone
Dialogue for Action among tribal communities
North Point Clinic forums
VSS screening project |
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Strategies |
Target Population |
Activities in other States |
Activities in Minnesota/sponsoring organization |
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INCREASING ACCESS
Recommended for breast (Br), cervical (Ce) and/or colorectal (Co) cancer
- Reduce structural barriers, e.g., inconvenient hours, locations, complex admin procedures, etc (Br/Co)
- Reduce out of pocket costs, e.g., vouchers, reimbursement, reduction of co-pays (Br)
Insufficient evidence
None reported
INCREASING PROVIDER
DELIVERY/REFERRAL
Recommended for breast (Br), cervical (Ce) and/or colorectal (Co) cancer
- Provider assessment/feedback (BR)
Insufficient evidence
- Provider incentives, e.g. $, CME
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Providers
Insurers
Business
Legislators
Health care systems
Providers |
Employer summit
Work place policies to encourage screening
Eliminate/reduce deductibles and copays
Provide incentives (gift cards)
HEDIS/BRFSS measurement
Conference directed to primary care physicians
Grand Rounds
Screen the screener
Reminder systems
Provider recognition
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Legislative initiative
Free screening days
Cancer Free Zone
ICSI Guidelines
Community Measurement
Health system reminders
Cancer Free Zone |
KEY POINTS:
1. Many fewer studies have assessed effectiveness of strategies for colorectal cancer than for breast or cervical cancer; almost all have focused on FOBT rather than endoscopy procedures.
2. Some strategies used by other states are not supported by evidence.
3. Although each domain (increasing demand, access, delivery) is presented separately, these three domains overlap.
4. Strategies are likely to be more effective if implemented simultaneously across domains.
5. Some strategies that have not been found to be effective (e.g., mass media alone) may be more effective if used in combination with strategies from other domains.
*Evidence-based strategies taken from Task Force on Community Preventive Services. Recommendations for client- and provider-directed interventions to increase breast, cervical and colorectal cancer screening. Am J Prev Med, 2008;35(1S):S21-25.
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