Systems strategies to support cancer screening in U.S. primary care practice

K. Robin Yabroff, Jane Zapka, Carrie N. Klabunde, Gigi Yuan, Dennis W. Buckman, David Haggstrom, Steven B. Clauser, Jacqueline Miller, Stephen H. Taplin

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background: Although systems strategies are effective in improving health care delivery, little is known about their use for cancer screening in U.S. primary care practice. Methods:Weassessed primary care physicians' (N=2,475) use of systems strategies for breast, cervical, and colorectal cancer (CRC) screening in a national survey conducted in 2007. Systems strategies included patient and physician screening reminders, performance reports of screening rates, electronic medical records, implementation of in-practice guidelines, and use of nurse practitioners/physician assistants. We evaluated use of both patient and physician screening reminders with other strategies in separate models by screening type, adjusted for the effects of physician and practice characteristics with multivariate logistic regression. Results: Fewer than 10% of physicians used a comprehensive set of systems strategies to support cancer screening; use was greater for mammography and Pap testing than for CRC screening. In adjusted analyses, performance reports of cancer screening rates, medical record type, and in-practice guidelines were associated with use of both patient and physician screening reminders for mammography, Pap testing, and CRC screening (P < 0.05). Conclusion: Despite evidence supporting use of systems strategies in primary care, few physicians report using a comprehensive set of strategies to support cancer screening. Impact: Current health policy initiatives underscore the importance of increased implementation of systems strategies in primary care to improve the use and quality of cancer screening in the United States.

Original languageEnglish
Pages (from-to)2471-2479
Number of pages9
JournalCancer Epidemiology Biomarkers and Prevention
Volume20
Issue number12
DOIs
StatePublished - Dec 2011

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Early Detection of Cancer
Primary Health Care
Physicians
Colorectal Neoplasms
Primary Care Physicians
Mammography
Practice Guidelines
Physician Assistants
Nurse Practitioners
Electronic Health Records
Health Policy
Uterine Cervical Neoplasms
Medical Records
Logistic Models
Breast Neoplasms
Delivery of Health Care

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Systems strategies to support cancer screening in U.S. primary care practice. / Yabroff, K. Robin; Zapka, Jane; Klabunde, Carrie N.; Yuan, Gigi; Buckman, Dennis W.; Haggstrom, David; Clauser, Steven B.; Miller, Jacqueline; Taplin, Stephen H.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 20, No. 12, 12.2011, p. 2471-2479.

Research output: Contribution to journalArticle

Yabroff, KR, Zapka, J, Klabunde, CN, Yuan, G, Buckman, DW, Haggstrom, D, Clauser, SB, Miller, J & Taplin, SH 2011, 'Systems strategies to support cancer screening in U.S. primary care practice', Cancer Epidemiology Biomarkers and Prevention, vol. 20, no. 12, pp. 2471-2479. https://doi.org/10.1158/1055-9965.EPI-11-0783
Yabroff, K. Robin ; Zapka, Jane ; Klabunde, Carrie N. ; Yuan, Gigi ; Buckman, Dennis W. ; Haggstrom, David ; Clauser, Steven B. ; Miller, Jacqueline ; Taplin, Stephen H. / Systems strategies to support cancer screening in U.S. primary care practice. In: Cancer Epidemiology Biomarkers and Prevention. 2011 ; Vol. 20, No. 12. pp. 2471-2479.
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