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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/35254884 below:

Cancer Screening Among Rural and Urban Clinics During COVID-19: A Multistate Qualitative Study

. 2022 Jun;18(6):e1045-e1055. doi: 10.1200/OP.21.00658. Epub 2022 Mar 7. Cancer Screening Among Rural and Urban Clinics During COVID-19: A Multistate Qualitative Study Brandy L Arredondo², Melody N Chavez², Carley Geiss², Emma Hume³, Laura Szalacha^{3 4}, Shannon M Christy^{5 6 7 8}, Susan Vadaparampil^{5 6}, Usha Menon⁴, Jessica Islam^{6 7 9}, Young-Rock Hong¹⁰, Amir Alishahi Tabriz^{5 6}, Jennifer Kue⁴, Kea Turner^{5 6 8}

Affiliations

¹ Department of Family Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL.
² Participant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL.
³ Morsani College of Medicine, University of South Florida, Tampa, FL.
⁴ College of Nursing, University of South Florida, Tampa, FL.
⁵ Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL.
⁶ Department of Oncological Sciences, Morsani College of Medicine, University of South Florida, Tampa, FL.
⁷ Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL.
⁸ Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL.
⁹ Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
¹⁰ Department of Health Services Research and Management, University of Florida, Gainesville, FL.

PMID: 35254884
PMCID: PMC9797235
DOI: 10.1200/OP.21.00658

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Cancer Screening Among Rural and Urban Clinics During COVID-19: A Multistate Qualitative Study

Karim Hanna et al. JCO Oncol Pract. 2022 Jun.

. 2022 Jun;18(6):e1045-e1055. doi: 10.1200/OP.21.00658. Epub 2022 Mar 7. Authors Karim Hanna¹, Brandy L Arredondo², Melody N Chavez², Carley Geiss², Emma Hume³, Laura Szalacha^{3 4}, Shannon M Christy^{5 6 7 8}, Susan Vadaparampil^{5 6}, Usha Menon⁴, Jessica Islam^{6 7 9}, Young-Rock Hong¹⁰, Amir Alishahi Tabriz^{5 6}, Jennifer Kue⁴, Kea Turner^{5 6 8} Affiliations

¹ Department of Family Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL.
² Participant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL.
³ Morsani College of Medicine, University of South Florida, Tampa, FL.
⁴ College of Nursing, University of South Florida, Tampa, FL.
⁵ Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL.
⁶ Department of Oncological Sciences, Morsani College of Medicine, University of South Florida, Tampa, FL.
⁷ Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL.
⁸ Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL.
⁹ Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
¹⁰ Department of Health Services Research and Management, University of Florida, Gainesville, FL.

PMID: 35254884
PMCID: PMC9797235
DOI: 10.1200/OP.21.00658

Item in Clipboard

Abstract

Purpose: The effects of COVID-19 have been understudied in rural areas. This study sought to (1) identify cancer screening barriers and facilitators during the pandemic in rural and urban primary care practices, (2) describe implementation strategies to support cancer screening, and (3) provide recommendations.

Methods: A qualitative study was conducted (N = 42) with primary care staff across 20 sites. Individual interviews were conducted through videoconference from August 2020 to April 2021 and recorded, transcribed, and analyzed using deductive and inductive coding (hybrid approach) in NVivo 12 Plus. Practices included federally qualified health centers, tribal health centers, rural health clinics, hospital/health system-owned clinics, and academic medical centers across 10 states including urban (55%) and rural (45%) sites. Staff included individuals serving in the dual role of health care provider and administrator (21.4%), health care administrator (23.8%), physician (19.0%), advanced practice provider (11.9%), or resident (23.8%). The interviews assessed perceptions about cancer screening barriers and facilitators, implementation strategies, and future recommendations.

Results: Participants reported multilevel barriers to cancer screening including policy-level (eg, elective procedure delays), organizational (eg, backlogs), and individual (eg, patient cancellation). Several facilitators to screening were noted, such as home-based testing, using telehealth, and strong partnerships with referral sites. Practices used strategies to encourage screening, such as incentivizing patients and providers and expanding outreach. Rural clinics reported challenges with backlogs, staffing, telehealth implementation, and patient outreach.

Conclusion: Primary care staff used innovative strategies during the pandemic to promote cancer screening. Unresolved challenges (eg, backlogs and inability to implement telehealth) disproportionately affected rural clinics.

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Conflict of interest statement

Carley Geiss Employment: HCA Healthcare (I) Susan Vadaparampil Speakers' Bureau: GlaxoSmithKline (I), Bristol Myers Squibb/Medarex (I) Usha Menon Stock and Other Ownership Interests: Abcodia Research Funding: Abcodia (Inst) Patents, Royalties, Other Intellectual Property: Patent No.: EP10178345.4 for Breast Cancer Diagnostics Uncompensated Relationships: ILOF (Inst), Dana-Farber Cancer Institute (Inst), RNA Guardian (Inst), Micronoma (Inst) Amir Alishahi Stock and Other Ownership Interests: Surgalign Holdings Inc, Cortexyme IncNo other potential conflicts of interest were reported.

Figures
FIG 1.

Rural and urban cancer screening…

FIG 1.

Rural and urban cancer screening barriers and facilitators during the pandemic.

FIG 1.

Rural and urban cancer screening barriers and facilitators during the pandemic.