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Patient participation in colon cancer screening programs
A M DiPalma1, S E Barnes, J A DiPalma
1Department of Health, Physical Education and Leisure, University of South Alabama, Mobile, USA.
Southern Medical Journal
|May 1, 1998
Summary
Many patients stop colon cancer screening due to lack of awareness or insurance issues. Understanding these factors is crucial for improving adherence to screening guidelines.
Area of Science:
- Gastroenterology
- Public Health
- Preventive Medicine
Background:
- Colon cancer screening adherence is critical for early detection and improved outcomes.
- Understanding long-term patient compliance with screening protocols is essential.
Purpose of the Study:
- To assess patient compliance with periodic colon cancer screening after initial participation.
- To identify factors influencing continued engagement with screening guidelines.
Main Methods:
- A cohort of 95 patients undergoing initial fecal occult blood tests (FOBT) and flexible sigmoidoscopy (FS) were followed.
- An aggressive screening registry utilized regular reminders for annual FOBT and triennial FS.
Main Results:
- 49% of contacted patients (32 of 65) had discontinued screening.
- Key reasons for non-participation included unawareness of screening due, being too busy, unpleasant experiences, and insurance coverage changes (including Medicare).
Conclusions:
- Even with proactive management, a significant portion of patients are unaware when repeat screening is due.
- Insurance coverage, particularly Medicare, poses a barrier to continued screening for some individuals.
- Future screening programs must address patient awareness and insurance-related barriers to enhance long-term participation.