Community Health Centers' Performance in Cancer Screening and Prevention.
Journal
American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
01
04
2021
revised:
24
06
2021
accepted:
13
07
2021
pubmed:
20
10
2021
medline:
1
2
2022
entrez:
19
10
2021
Statut:
ppublish
Résumé
Little is known about what clinic-level factors differentiate community health centers that achieve high performance on cancer-preventive care metrics. This study aims to describe the longitudinal trends in the delivery of 3 cancer-preventive care metrics (cervical and colorectal cancer screenings and tobacco-cessation intervention) and define and compare community health centers with high cancer-preventive care performance with those with low cancer-preventive care performance. This observational study used 2012-2019 community health center data (N=933) from the Uniform Data System. High/low performance was based on Healthy People 2020 targets and sample distribution. For each cancer-preventive care metric, the percentage of community health centers that met high (≥70.5% at cervical or colorectal cancer screening or >80% tobacco-cessation intervention) and low thresholds at 1, 2, and all the 3 screenings was estimated. Multivariable generalized estimating equations logistic regression modeling was used to assess the community health center‒level factors associated with screening performance. The community health centers' performance for tobacco-cessation intervention remained at ≥80%, with a small increase over time. Performance for cervical cancer screening remained unchanged with about 50% of patients screened. Colorectal cancer screening performance increased from around 30% in 2012 to 44% in 2019. Very few community health centers reached high performance (3%) in all the 3 indicators, and 13% of community health centers were high in any 2 of the outcomes in 2019. Higher patient volume, a greater proportion of Hispanic patients, fewer uninsured patients, and community health centers located in the Northeast region were associated with high performance in 2019. Very few community health centers meet all Healthy People 2020 goals in cancer screenings and may struggle to achieve the 2030 goals. Very few indicators differentiated high performers from low performers.
Identifiants
pubmed: 34663549
pii: S0749-3797(21)00433-5
doi: 10.1016/j.amepre.2021.07.007
pmc: PMC8748316
mid: NIHMS1748865
pii:
doi:
Types de publication
Journal Article
Observational Study
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e97-e106Subventions
Organisme : NCI NIH HHS
ID : P50 CA244289
Pays : United States
Informations de copyright
Copyright © 2021 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Références
Prev Med. 2019 Jul;124:91-97
pubmed: 31077723
J Health Care Poor Underserved. 2004 May;15(2):281-93
pubmed: 15253379
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719887260
pubmed: 31702425
JAMA. 2006 Mar 1;295(9):1042-9
pubmed: 16507805
Am J Public Health. 2015 Jul;105 Suppl 3:S438-42
pubmed: 25905832
J Health Care Poor Underserved. 2017;28(1):108-126
pubmed: 28238992
CA Cancer J Clin. 2013 Jul-Aug;63(4):221-31
pubmed: 23818334
Prev Med. 1998 Jan-Feb;27(1):120-8
pubmed: 9465362
J Health Care Poor Underserved. 2019;30(3):1024-1036
pubmed: 31422986
Med Care. 2017 May;55(5):535-541
pubmed: 28288073
Nicotine Tob Res. 2020 May 26;22(6):1016-1022
pubmed: 31123754
Prev Chronic Dis. 2017 Aug 17;14:E66
pubmed: 28817791
Popul Health Manag. 2021 Feb;24(1):52-58
pubmed: 32119804
J Natl Cancer Inst. 2019 Oct 1;111(10):1104-1106
pubmed: 31141602
Am J Public Health. 2018 Aug;108(8):1082-1090
pubmed: 29927641
J Am Med Inform Assoc. 2019 Jun 1;26(6):506-515
pubmed: 30889243
Prev Chronic Dis. 2013 Oct 24;10:E173
pubmed: 24157076
Health Serv Res. 2020 Oct;55 Suppl 2:873-882
pubmed: 32880945
Matern Child Health J. 2005 Sep;9(3):285-95
pubmed: 16163439
Cancer Causes Control. 2016 Sep;27(9):1081-91
pubmed: 27447961
Med Care Res Rev. 2001 Jun;58(2):234-48
pubmed: 11398647
J Gen Intern Med. 2005 Feb;20(2):148-54
pubmed: 15836548
J Cancer Educ. 2017 Dec;32(4):690-699
pubmed: 26757902
Am J Prev Med. 2017 Aug;53(2):192-200
pubmed: 28365090
Am J Prev Med. 2018 Feb;54(2):190-196
pubmed: 29198834
Gastroenterology. 2017 Apr;152(5):1217-1237.e3
pubmed: 27769517
JAMA Netw Open. 2019 Sep 4;2(9):e1911514
pubmed: 31532515
MMWR Morb Mortal Wkly Rep. 2016 Dec 09;65(48):1364-1369
pubmed: 27932786
Am J Public Health. 2000 Mar;90(3):431-4
pubmed: 10705866
Health Serv Res. 2004 Dec;39(6 Pt 1):1881-901
pubmed: 15533192
Econ Inq. 2019 Oct;57(4):1798-1820
pubmed: 31427832
Nicotine Tob Res. 2018 Nov 15;20(12):1474-1480
pubmed: 29059372
J Gen Intern Med. 2006 Jan;21(1):71-7
pubmed: 16423128
Prev Med Rep. 2015 Sep 21;2:886-91
pubmed: 26844165
J Health Care Poor Underserved. 2019;30(1):161-181
pubmed: 30827976
J Am Board Fam Med. 2019 Mar-Apr;32(2):180-190
pubmed: 30850454
Cancer. 2017 Nov 1;123(21):4185-4192
pubmed: 28708933
MMWR Morb Mortal Wkly Rep. 2017 Mar 03;66(8):201-206
pubmed: 28253225
PLoS One. 2017 Mar 31;12(3):e0175115
pubmed: 28362828
Prev Med Rep. 2020 May 08;19:101114
pubmed: 32477853