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Published on: August 1, 2019
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Patient perspectives on a proposed pharmacy-based colorectal cancer screening program
Renée M Ferrari1,2, Dana L Atkins3, Mary Wangen4
1Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Translational Behavioral Medicine
|September 27, 2023
Summary
Patients find pharmacy-based colorectal cancer (CRC) screening acceptable, especially the fecal immunochemical test (FIT). Addressing privacy and provider communication is key for successful implementation in underserved communities.
Area of Science:
- Public Health
- Health Services Research
- Cancer Prevention
Background:
- Colorectal cancer (CRC) is a significant public health concern, yet screening remains underutilized, particularly in underserved populations.
- Current CRC screening interventions primarily focus on primary care, which can be a barrier for many individuals.
- Pharmacies offer a more accessible alternative for healthcare delivery and may be well-suited for CRC screening initiatives.
Purpose of the Study:
- To evaluate patient perspectives on the acceptability of a pharmacy-based colorectal cancer (CRC) screening program utilizing the fecal immunochemical test (FIT).
- To identify patient preferences for intervention design to optimize the implementation of pharmacy-based CRC screening.
Main Methods:
- Conducted semi-structured interviews with participants in North Carolina and Washington to explore views on pharmacy-based CRC screening.
- Utilized Andersen's Healthcare Utilization Model and the Theoretical Domains Framework to guide the interview process.
- Interviews were audio-recorded, transcribed, and analyzed to understand patient perceptions.
Main Results:
- Patients generally found pharmacy-based CRC screening highly acceptable, appreciating the convenience and avoidance of office visit co-pays.
- Concerns regarding patient privacy and coordination of care with primary care providers were noted as potential barriers.
- Trust in providers and pharmacists, along with seamless care integration, were identified as crucial factors for program success.
Conclusions:
- Pharmacy-based fecal immunochemical test (FIT) screening for colorectal cancer (CRC) is perceived as an acceptable strategy by patients.
- Ensuring patient privacy, establishing clear communication channels between pharmacies and primary care providers, and implementing closed-loop care are essential for successful program outcomes, especially for abnormal results.
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