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Abstract

It is essential to have an effective care process to promote colorectal cancer (CRC) screening particularly in rural areas. Primary care health care providers may have a significant impact on improving CRC screening rates among rural residents through systematic screening processes in their clinics. In this qualitative study, we aimed to explore the whole clinic processes of recommending and referring CRC screening in the rural accountable care organization (ACO) primary care clinics. We collected qualitative data through 21 semi-structured in-depth interviews with healthcare providers in rural primary care ACO clinics in Nebraska. We audio recorded and transcribed the interviews and analyzed the data using an inductive content analysis approach. The qualitative analyses revealed that ACO clinics are promoting CRC screening through teamwork with enhanced utilization of electronic health records and various other reminder strategies for both providers and patients. Areas for improvement in ACO clinic processes were also identified.

Keywords

Colorectal Cancer Screening, Qualitative Research, Rural Health, Primary Care, Accountable Care Organization, Team-Based Care

Author Bio(s)

Sarbinaz Bekmuratova, PhD, is an Assistant Professor in the Department of Occupational Therapy in the College of Pharmacy and Health Professions at Creighton University, Omaha, NE. Please direct correspondence to sarbinazbekmuratova@creighton.edu.

Jungyoon Kim, PhD, is an Assistant Professor in the Department of Health Services Research and Administration at the College of Public Health at University of Nebraska Medical Center, Omaha, NE. Correspondence regarding this article can be addressed directly to: Jungyoon.kim@unmc.edu.

Hongmei Wang, PhD, is an Assistant Professor in the Department of Health Services Research and Administration at the College of Public Health at University of Nebraska Medical Center, Omaha, NE. Correspondence regarding this article can also be addressed directly to: hongmeiwang@unmc.edu.

Lufei Young, PhD, RN, APRN-NP, is an Associate Professor in the Department of Physiological and Technological Nursing in the College of Nursing at Augusta University, GA. Correspondence regarding this article can also be addressed directly to: luyoung@augusta.edu.

Daniel J. Schober, PhD, MPH, is an Assistant Professor, in the Master of Public Health Program at DePaul University, Chicago, IL. Please direct correspondence to dschober@depaul.edu.

Li-Wu Chen, PhD, is a Professor in the Department of Health Services Research and Administration of the College of Public Health at the University of Nebraska Medical Center, Omaha, NE. Correspondence regarding this article can also be addressed directly to: liwuchen@unmc.edu.

Publication Date

6-24-2019

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

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