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Masterclass: Colorectal Screening Plus (Virtual) | ...
Busting Barriers and Role of Choice
Busting Barriers and Role of Choice
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Video Transcription
Video Summary
Dr. Douglas Robertson, a colorectal cancer screening expert, addressed the persistent conundrum: colorectal cancer screening effectively reduces mortality (up to 30%) yet uptake in the U.S. remains suboptimal (~60%). Screening barriers include access, affordability, awareness, acceptance, and activation, heavily influenced by socioeconomic factors and insurance status. Data from HEDIS and CDC surveys show varied screening adherence, with lower rates among underinsured and less educated populations. To overcome these barriers, multilevel interventions like outreach (organized screening programs, e.g., mailed FIT tests), patient navigation (personalized support and reminders), education, and financial incentives can help, though incentives show mixed results. Crucially, offering screening choice (FIT or colonoscopy) enhances patient adherence, which is key to screening success. Studies demonstrate choice increases participation rates more than colonoscopy alone. Dr. Robertson emphasized the need for population-based strategies and engaging primary care providers to improve screening rates and reduce colorectal cancer incidence and mortality.
Asset Subtitle
Douglas J Robertson
Keywords
colorectal cancer screening
screening barriers
socioeconomic factors
multilevel interventions
screening adherence
patient choice
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