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Showing content from https://pubmed.ncbi.nlm.nih.gov/18341782/ below:

Cost of starting colorectal cancer screening programs: results from five federally funded demonstration programs

Affiliations

Affiliation

¹ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-55, Atlanta, GA 30341-3717, USA. FTangka@cdc.gov

PMID: 18341782
PMCID: PMC2396978

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Cost of starting colorectal cancer screening programs: results from five federally funded demonstration programs

Florence K L Tangka et al. Prev Chronic Dis. 2008 Apr.

Affiliation

¹ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-55, Atlanta, GA 30341-3717, USA. FTangka@cdc.gov

PMID: 18341782
PMCID: PMC2396978

Item in Clipboard

Abstract

Introduction: In 2005, the Centers for Disease Control and Prevention (CDC) started a 3-year colorectal cancer screening demonstration project and funded five programs to explore the feasibility of a colorectal cancer program for the underserved U.S. population. CDC is evaluating the five programs to estimate implementation cost, identify best practices, and determine the most cost-effective approach. The objectives are to calculate start-up costs and estimate funding requirements for widespread implementation of colorectal cancer screening programs.

Methods: An instrument was developed to collect data on resource use and related costs. Costs were estimated for start-up activities, including program management, database development, creation of partnerships, public education and outreach, quality assurance and professional development, and patient support. Monetary value of in-kind contributions to start-up programs was also estimated.

Results: Start-up time ranged from 9 to 11 months for the five programs; costs ranged from $60,602 to $337,715. CDC funding and in-kind contributions were key resources for the program start-up activities. The budget category with the largest expenditure was labor, which on average accounted for 67% of start-up costs. The largest cost categories by activities were management (28%), database development (17%), administrative (17%), and quality assurance (12%). Other significant expenditures included public education and outreach (9%) and patient support (8%).

Conclusion: To our knowledge, no previous reports detail the costs to begin a colorectal cancer screening program for the underserved population. Start-up costs were significant, an important consideration in planning and budgeting. In-kind contributions were also critical in overall program funding. Start-up costs varied by the infrastructure available and the unique design of programs. These findings can inform development of organized colorectal cancer programs.

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Figures
Figure 1

Approach to collection of cost…

Figure 1

Approach to collection of cost data in study of start-up costs in five…

Figure 1

Approach to collection of cost data in study of start-up costs in five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006.

Figure 2

Distribution of start-up costs, by…

Figure 2

Distribution of start-up costs, by budget category, in study of five programs in…

Figure 2

Distribution of start-up costs, by budget category, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006.

Figure3

Percentage distribution of start-up costs, by…

Figure3

Percentage distribution of start-up costs, by activity, averaged across the five programs in the…

Figure3

Percentage distribution of start-up costs, by activity, averaged across the five programs in the Colorectal Cancer Screening Demonstration Program, 2005–2006. Numbers do not add up to 100% due to rounding.

Figure4

Distribution of start-up costs, by activity,…

Figure4

Distribution of start-up costs, by activity, in study of five programs in Colorectal Cancer…

Figure4

Distribution of start-up costs, by activity, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006.