An Examination of Multilevel Factors Influencing Colorectal Cancer Screening in Primary Care Accountable Care Organization Settings: A Mixed-Methods Study

Objective: To identify patient, provider, and delivery system–level factors associated with colorectal cancer (CRC) screening and validate findings across multiple data sets. Design: A concurrent mixed-methods design using electronic health records, provider survey, and provider interview. Setting: Eight primary care accountable care organization clinics in Nebraska. Measures: Patients' demographic/social characteristics, health utilization behaviors, and perceptions toward CRC screening; provider demographics and practice patterns; and clinics' delivery systems (eg, reminder system). Analysis: Quantitative (frequencies, logistic regression, and t tests) and qualitative analyses (thematic coding). Results: At the patient level, being 65 years of age and older (odds ratio [OR] = 1.34, P
Source: Journal of Public Health Management and Practice - Category: Health Management Tags: Research Reports: Research Full Report Source Type: research