A Multilevel Approach to Understand the Context and Potential Solutions for Low Colorectal Cancer (CRC) Screening Rates in Rural Appalachia Clinics.

Jamie M ZoellnerKathleen PorterEsther ThatcherErin KennedyJames L WerthBetsy GrossmanTomas RoatseyHeather HamiltonRoger AndersonWendy Cohn

Published in: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association (2020)

Contextualized perceptions of barriers and practical opportunities to improve CRC screening rates were identified among staff and patients. To optimize multilevel CRC screening interventions in rural Appalachia clinics, future quality improvement, research, and policy efforts are needed to address identified challenges.

Keyphrases

quality improvement
primary care
healthcare
end stage renal disease
south africa
newly diagnosed
public health
chronic kidney disease
prognostic factors
physical activity
peritoneal dialysis
mental health
patient safety
climate change
risk assessment