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Extent of Follow-Up on Abnormal Cancer Screening in Multiple California Public Hospital Systems: A Retrospective Review.

Elaine C KhoongNatalie A RivadeneiraLucia PaccaDean SchillingerDavid LownPalav BabariaNeha GuptaRajiv PramanikHelen TranTyler WhitezellMa SomsoukUrmimala Sarkar
Published in: Journal of general internal medicine (2022)
Despite the vulnerabilities of public-hospital-system patients, follow-up of abnormal cancer screening tests occurs at rates similar to that of patients in other healthcare settings, with colon cancer screening test follow-up occurring at lower rates than follow-up of breast cancer screening tests. Site-level factors have larger, more consistent impact on follow-up rates than patient sociodemographic traits. Resources are needed to identify health system-level factors, such as test follow-up processes or data infrastructure, that improve abnormal cancer screening test follow-up so that effective health system-level interventions can be evaluated and disseminated.
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