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Colorectal Cancer Screening Rates Increased after Exposure to the Patient-Centered Medical Home (PCMH).

Beverly B Green1, Melissa L Anderson2, Jessica Chubak2

  • 1From Group Health Permanente, Seattle WA (BBG, LT); the Group Health Research Institute, Seattle WA (BBG, MLA, JC, SC); the University of Washington School of Medicine, Seattle (BBG, LMB, AC); the University of Washington School of Public Health, Seattle (JC); the University of California-Davis Betty Irene Moore School of Nursing, Sacramento (SC); and the University of Texas, Houston, School of Public Health, Houston (SWV). green.b@ghc.org.

Journal of the American Board of Family Medicine : JABFM
|March 10, 2016
PubMed
Summary
This summary is machine-generated.

Patient-centered medical homes (PCMH) improve colorectal cancer screening (CRCS) rates. Even with PCMH, interventions like mailed kits significantly boost CRCS, demonstrating the value of both approaches for preventive care.

Keywords:
Cancer ScreeningColon CancerMedical Home

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Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Oncology

Background:

  • The patient-centered medical home (PCMH) model emphasizes comprehensive care, including preventive services like colorectal cancer screening (CRCS).
  • Understanding the impact of PCMH implementation on CRCS rates is crucial for optimizing cancer prevention strategies.

Purpose of the Study:

  • To assess the association between patient-centered medical home (PCMH) exposure and colorectal cancer screening (CRCS) rates.
  • To evaluate how PCMH implementation influenced the effectiveness of interventions aimed at increasing CRCS within the Systems of Support to Increase Colorectal Cancer Screening (SOS) Trial.

Main Methods:

  • The SOS Trial enrolled 4664 patients across 21 clinics, randomizing them to usual care or various mailed fecal kit interventions.
  • A PCMH model was implemented across all clinics in late 2009, allowing for varied patient exposure durations.
  • Logistic regression models analyzed the relationship between PCMH exposure and CRCS completion.

Main Results:

  • Patients with longer exposure to the PCMH (≥8 months) showed higher CRCS rates compared to those with shorter exposure (≤4 months).
  • While SOS interventions significantly increased CRCS, the PCMH exposure attenuated the magnitude of this effect, indicating an interaction (P = .01).

Conclusions:

  • Exposure to a patient-centered medical home (PCMH) is positively associated with higher colorectal cancer screening (CRCS) rates.
  • Automated, centrally delivered interventions effectively increase CRCS, even within a PCMH setting, highlighting the complementary nature of these strategies.