Interventions to Increase Recommendation and Delivery of Screening for Breast, Cervical, and Colorectal Cancers by Healthcare Providers. Systematic Reviews of Provider Assessment and Feedback and Provider Incentives

Susan A. Sabatino, Nancy Habarta, Roy C. Baron, Ralph J. Coates, Barbara K. Rimer, Jon Kerner, Steven Scott Coughlin, Geetika P. Kalra, Sajal Chattopadhyay

Research output: Contribution to journalReview article

93 Citations (Scopus)

Abstract

Abstract: Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of two provider-directed intervention approaches to increase screening for breast, cervical, and colorectal cancers. These approaches, provider assessment and feedback, and provider incentives encourage providers to deliver screening services at appropriate intervals. Evidence in these reviews indicates that provider assessment and feedback interventions can effectively increase screening by mammography, Pap test, and fecal occult blood test. Health plans, healthcare systems, and cancer control coalitions should consider such evidence-based findings when implementing interventions to increase screening use. Evidence was insufficient to determine the effectiveness of provider incentives in increasing use of any of these tests. Specific areas for further research are suggested in this report, including the need for additional research to determine whether provider incentives are effective in increasing use of any of these screening tests, and whether assessment and feedback interventions are effective in increasing other tests for colorectal cancer (i.e., flexible sigmoidoscopy, colonoscopy, or double-contrast barium enema).

Original languageEnglish (US)
JournalAmerican Journal of Preventive Medicine
Volume35
Issue number1 SUPPL.
DOIs
StatePublished - Jul 1 2008

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Uterine Cervical Neoplasms
Health Personnel
Motivation
Colorectal Neoplasms
Breast Neoplasms
Papanicolaou Test
Sigmoidoscopy
Occult Blood
Hematologic Tests
Mammography
Colonoscopy
Early Detection of Cancer
Research
Economics
Organizations
Delivery of Health Care
Mortality
Health
Neoplasms
Barium Enema

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Interventions to Increase Recommendation and Delivery of Screening for Breast, Cervical, and Colorectal Cancers by Healthcare Providers. Systematic Reviews of Provider Assessment and Feedback and Provider Incentives. / Sabatino, Susan A.; Habarta, Nancy; Baron, Roy C.; Coates, Ralph J.; Rimer, Barbara K.; Kerner, Jon; Coughlin, Steven Scott; Kalra, Geetika P.; Chattopadhyay, Sajal.

In: American Journal of Preventive Medicine, Vol. 35, No. 1 SUPPL., 01.07.2008.

Research output: Contribution to journalReview article

Sabatino, Susan A. ; Habarta, Nancy ; Baron, Roy C. ; Coates, Ralph J. ; Rimer, Barbara K. ; Kerner, Jon ; Coughlin, Steven Scott ; Kalra, Geetika P. ; Chattopadhyay, Sajal. / Interventions to Increase Recommendation and Delivery of Screening for Breast, Cervical, and Colorectal Cancers by Healthcare Providers. Systematic Reviews of Provider Assessment and Feedback and Provider Incentives. In: American Journal of Preventive Medicine. 2008 ; Vol. 35, No. 1 SUPPL.
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