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A Multilevel Approach to Understand the Context and Potential Solutions for Low Colorectal Cancer (CRC) Screening Rates in Rural Appalachia Clinics
Author(s) -
Zoellner Jamie,
Porter Kathleen,
Thatcher Esther,
Kennedy Erin,
Werth James L.,
Grossman Betsy,
Roatsey Tomas,
Hamilton Heather,
Anderson Roger,
Cohn Wendy
Publication year - 2020
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/jrh.12522
Subject(s) - medicine , medicaid , psychological intervention , family medicine , appalachia , context (archaeology) , cancer screening , colonoscopy , rural health , prostate cancer screening , colorectal cancer , nursing , health care , rural area , cancer , prostate cancer , prostate specific antigen , paleontology , pathology , economics , biology , economic growth
Purpose To explore system/staff‐ and patient‐level opportunities to improve colorectal cancer (CRC) screening within an 11‐clinic Federally Qualified Health Center (FQHC) in rural Appalachia with CRC screening rates around 22%‐30%. Methods Using a convergent parallel mixed‐methods design, staff (n = 26) and patients (n = 60, age 50‐75, 67% female, 83%