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Related Concept Videos

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Rural barriers to colonoscopy screening identified through patient navigation.

Brooke Ike1, Gina A Keppel1, Allison Cole1

  • 1University of Washington, Department of Family Medicine, Box 354982, Seattle, WA 98195-4982, United States.

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|April 20, 2026
PubMed
Summary
This summary is machine-generated.

Patient navigation identified significant barriers to colorectal cancer screening in rural populations. Scheduling and knowledge gaps were most common, impacting colonoscopy completion rates for many patients.

Keywords:
BarriersCancer screeningColonoscopyColorectal cancerPatient navigationRural health

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Area of Science:

  • Public Health
  • Health Services Research
  • Cancer Prevention

Background:

  • Rural populations face disparities in colorectal cancer (CRC) screening and outcomes.
  • Limited data exists on barriers to colonoscopy completion after referral in rural settings.
  • Patient navigation (PN) is an effective strategy for addressing cancer screening barriers.

Purpose of the Study:

  • To examine barriers to colonoscopy screening encountered by rural patients in real-time.
  • To analyze barriers identified by a patient navigator in the Colonoscopy Outreach for Rural Communities (CORC) study.

Main Methods:

  • Descriptive analysis of barrier frequencies reported by the CORC patient navigator.
  • Qualitative descriptive analysis of patient navigator field notes.
  • Framework Method applied to data from 157 rural CORC PN patients.

Main Results:

  • Patient navigators identified barriers in 64.3% of patients.
  • Scheduling (31.2%) and knowledge (28.0%) were the most frequent barrier types.
  • Higher prevalence of barriers (scheduling, time, cost, psychosocial, language) among those not completing colonoscopy.

Conclusions:

  • Utilizing patient navigation documentation offers an innovative approach to understanding real-time, experienced barriers.
  • Findings provide detailed insights into dynamic barriers faced by rural patients during screening colonoscopy.
  • This approach captures barriers within the context of health system interactions and personal circumstances.