| An academic medical center model for community colorectal cancer screening: the Centers for Disease Control and Prevention demonstration program experience. | |
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MedLine Citation:
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PMID: 20453811 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During 2005-2009, the Centers for Disease Control and Prevention funded five colorectal cancer (CRC) screening demonstration projects around the United States; only one was based in an academic medical center (AMC) rather than a health department. The Suffolk County Preventive Endoscopy Project (Project SCOPE) was a collaborative effort between Stony Brook University Medical Center (SBUMC) and the Suffolk County Department of Health Services. Project SCOPE's objective was to increase CRC screening among Suffolk County residents at least 50 years old who had inadequate or no insurance coverage for CRC screening. The demonstration application drew on the screening, diagnostic, and treatment resources of the AMC and the indigent populations using its outpatient clinics. Patients at 10 county health centers were a primary target for (previously inaccessible) colonoscopy screening. The project's organizational center was SBUMC's preventive medicine department, which was linked to SBUMC's large gastroenterology practice. The specific staffing, financial, and training issues faced by this project provide insights for others who are similarly interested in community engagement. During 40 months of screening, 800 indigent, culturally diverse patients were recruited, and they underwent colonoscopy. Challenges encountered included unreachable referred patients (425 patients; 28% of referrals) and medical ineligibility (e.g., symptomatic comorbid conditions). Pending legislation providing federal funding for a national program offers other AMCs the opportunity to adopt a model such as that proven feasible during Project SCOPE. The lessons learned may have broader application for fostering collaborative AMC partnerships and for enhancing recruitment and retention of participants through outreach. |
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Authors:
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Dorothy S Lane; Mary F Cavanagh; Catherine R Messina; Joseph C Anderson |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 85 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-05 Completed Date: 2010-09-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 1354-61 Citation Subset: AIM; IM |
Affiliation:
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Department of Preventive Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA. dorothy.lane@stonybrook.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Academic Medical Centers
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methods* Centers for Disease Control and Prevention (U.S.) / organization & administration* Colorectal Neoplasms / diagnosis, epidemiology, prevention & control* Female Humans Male Mass Screening / methods* Middle Aged Models, Theoretical* Morbidity / trends National Health Programs / organization & administration* Program Evaluation* Retrospective Studies United States / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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U55/CCU22501701//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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