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Colon Cancer Screening in Concierge Practice.

Elizabeth Nguyen1, Shivani Mehta1, Scott W Yates1

  • 1From the Texas College of Osteopathic Medicine, Fort Worth, and the Center for Executive Medicine, Plano, Texas.

Southern Medical Journal
|June 3, 2017
PubMed
Summary
This summary is machine-generated.

The Center for Executive Medicine (CEM) concierge practice significantly increased colorectal cancer (CRC) screening rates. CEM achieved a 90.2% CRC screening rate, surpassing local and national benchmarks.

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Area of Science:

  • Preventive medicine
  • Oncology
  • Health services research

Background:

  • Colorectal cancer (CRC) screening is crucial for early detection and improved patient outcomes.
  • Concierge primary care models may influence patient adherence to preventive screenings.

Purpose of the Study:

  • To evaluate the effectiveness of the Center for Executive Medicine (CEM) concierge primary care practice on preventive colorectal cancer (CRC) screening rates.
  • To compare CEM's CRC screening rates with local and national comparator data.

Main Methods:

  • An electronic medical record search identified patients aged 50-75 within the CEM practice.
  • CRC screening rates were compared against 2015 Medicare Advantage plans (IPA) and 2014 National Committee for Quality Assurance (NCQA) national health plans.

Main Results:

  • The CEM achieved a CRC screening rate of 90.2%.
  • This rate was significantly higher than local IPA Medicare Advantage plans (63.3%) and NCQA national plans (57.7%-66.5%).
  • CEM members were significantly more likely to undergo screening (OR 1.425, P < 0.0001).

Conclusions:

  • The CEM concierge practice strategy and processes are effective in increasing CRC screening rates.
  • This model demonstrates potential for enhancing preventive care delivery.