Organizational factors and the cancer screening process.
Cancer screening is a process of care consisting of several steps and interfaces. This article reviews what is known about the association between organizational factors and cancer screening rates and examines how organizational strategies can address the steps and interfaces of cancer screening in the context of both intraorganizational and interorganizational processes. We reviewed 79 studies assessing the relationship between organizational factors and cancer screening. Screening rates are largely driven by strategies to 1) limit the number of interfaces across organizational boundaries; 2) recruit patients, promote referrals, and facilitate appointment scheduling; and 3) promote continuous patient care. Optimal screening rates can be achieved when health-care organizations tailor strategies to the steps and interfaces in the cancer screening process that are most critical for their organizations, the providers who work within them, and the patients they serve.
Anhang Price
Rebecca
R
SAIC-Frederick, Inc., Applied Cancer Screening Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, 6130 Executive Blvd, EPN 4103A, Rockville, MD 20852, USA. anhangpricerj@mail.nih.gov
Zapka
Jane
J
Edwards
Heather
H
Taplin
Stephen H
SH
D001943:Breast Neoplasms / Q000175:diagnosis*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003266:Continuity of Patient Care / Q000458:organization & administration; D055088:Early Detection of Cancer / Q000191:economics / Q000523:psychology; D016099:Endoscopy, Gastrointestinal / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D058016:Health Facility Administration; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data; D008403:Mass Screening / Q000191:economics / Q000458:organization & administration* / Q000523:psychology; D009042:Motivation; D009780:Occult Blood; D011320:Primary Health Care; D012017:Referral and Consultation; D017010:Reminder Systems; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data
J Healthc Manag. 2004 May-Jun;49(3):155-68; discussion 169-70
15190858
Am J Prev Med. 2002 May;22(4):247-57
11988381
J Gen Intern Med. 1998 Apr;13(4):230-3
9565385
Med Care. 2008 Jan;46(1):58-62
18162856
Arch Fam Med. 1998 Jul-Aug;7(4):320-7; discussion 328
9682685
Eur J Cancer Prev. 2001 Jun;10(3):251-6
11432712
Milbank Q. 2005;83(4):691-729
16279964
Am J Public Health. 1995 Jun;85(6):834-6
7646664
Aust N Z J Public Health. 2000 Aug;24(4):441-3
11011475
Ann Behav Med. 2002 Summer;24(3):211-8
12173678
Fam Med. 2004 Jan;36(1):35-9
14710327
Ann Behav Med. 1997 Summer;19(3):271-8
9603701
J Cancer Educ. 2002 Winter;17(4):231-6
12556062
Health Educ Behav. 2004 Aug;31(4 Suppl):29S-44S
15296690
Ann Intern Med. 2006 Dec 5;145(11):826-33
17146067
Am J Prev Med. 2008 Jul;35(1 Suppl):S56-66
18541188
JAMA. 2005 Oct 12;294(14):1788-93
16219882
Can Fam Physician. 1998 Jan;44:81-8
9481466
Am J Public Health. 1998 Nov;88(11):1699-701
9807540
Med Care. 1993 Feb;31(2):175-81
8433579
CMAJ. 1997 Sep 1;157(5):521-6
9294390
Am J Prev Med. 2008 Jul;35(1 Suppl):S34-55
18541187
Cancer. 1996 Oct 15;78(8):1708-21
8859184
Med Care Res Rev. 2006 Apr;63(2):135-57
16595409
Am J Public Health. 1994 Jan;84(1):104-6
8279593
Am J Manag Care. 2004 Apr;10(4):265-72
15124503
J Rural Health. 2004 Winter;20(1):36-42
14964926
Jt Comm J Qual Improv. 1997 Apr;23(4):196-202
9142611
Fam Med. 1999 May;31(5):324-6
10407709
Prev Med. 2002 Jan;34(1):40-50
11749095
J Epidemiol Community Health. 1997 Apr;51(2):187-91
9196650
Ann Intern Med. 2002 Sep 17;137(6):511-20
12230353
Am J Prev Med. 2008 Jul;35(1 Suppl):S26-33
18541185
J Womens Health (Larchmt). 2003 Oct;12(8):789-98
14588129
Arch Intern Med. 1999 Feb 22;159(4):393-8
10030314
Prev Med. 2004 Mar;38(3):269-75
14766108
J Natl Cancer Inst. 2005 May 4;97(9):675-83
15870438
Fam Med. 1995 Feb;27(2):117-21
7737444
Ann Fam Med. 2005 Sep-Oct;3(5):430-5
16189059
Med Care. 1991 Oct;29(10):1039-50
1921523
N C Med J. 1992 Nov;53(11):575-8
1436150
CA Cancer J Clin. 2002 Nov-Dec;52(6):342-62
12469763
J Gen Intern Med. 1998 Aug;13(8):507-14
9734786
Ann Surg Oncol. 2004 Nov;11(11):970-6
15525825
Ann Intern Med. 2006 Oct 3;145(7):488-96
17015866
Patient Educ Couns. 2003 Jun;50(2):123-32
12781927
Ann Intern Med. 2002 Sep 3;137(5 Part 1):347-60
12204020
Am J Prev Med. 2000 Jan;18(1):1-10
10808977
Implement Sci. 2009 Aug 07;4:50
19664226
JAMA. 2005 Jul 27;294(4):473-81
16046654
J Gen Intern Med. 1990 May-Jun;5(3):218-24
2341921
J Gen Intern Med. 2009 Jun;24(6):702-9
19387748
Am J Med Sci. 1993 Aug;306(2):98-100
8362899
J Gen Intern Med. 2007 Aug;22(8):1195-205
17534688
Am J Med. 2001 Feb 15;110(3):181-7
11182103
J Med Screen. 2001;8(2):91-8
11480450
Prev Med. 1997 Nov-Dec;26(6):791-800
9388790
Fam Med. 2004 Jan;36(1):15-21
14710324
Am J Prev Med. 2001 Jul;21(1):20-8
11418253
Cancer. 1998 Jun 15;82(12):2391-400
9635532
Am J Prev Med. 1994 Nov-Dec;10(6):353-6
7880555
Am J Prev Med. 2008 Jul;35(1 Suppl):S67-74
18541190
J Natl Cancer Inst. 2004 Oct 20;96(20):1518-27
15494602
Health Serv Res. 2002 Jun;37(3):791-820
12132606
J Gen Intern Med. 1994 Aug;9(8):462-4
7965243
J Natl Cancer Inst Monogr. 2010;2010(40):3-10
20386048
J Fam Pract. 1992 Apr;34(4):457-63
1556540
Am J Prev Med. 1997 Nov-Dec;13(6):425-6
9415786
Health Serv Res. 2007 Jun;42(3 Pt 1):1130-49
17489907
BMJ. 2003 Nov 22;327(7425):1219-21
14630762
Cancer. 2000 Jun 15;88(12):2824-31
10870067
Am J Manag Care. 2003 Jan;9(1):33-44
12549813
Arch Intern Med. 1997 Aug 11-25;157(15):1658-64
9250226
Aust J Public Health. 1995 Apr;19(2):167-72
7786943
JAMA. 2003 Jan 22-29;289(4):434-41
12533122
Milbank Q. 2001;79(4):579-612, iv-v
11789118
Health Serv Res. 2007 Jun;42(3 Pt 1):1257-73
17489913
Am J Manag Care. 2001 Sep;7(9):887-94
11570022
Ann Intern Med. 2002 May 7;136(9):641-51
11992299
Aust N Z J Surg. 1992 Sep;62(9):714-9
1520154
Ann Intern Med. 2009 Nov 17;151(10):727-37, W237-42
19920273
Prev Med. 2003 Feb;36(2):131-40
12590987
Arch Intern Med. 1995 Apr 10;155(7):717-22
7695460
Arch Intern Med. 1997 Jul 14;157(13):1462-70
9224225
Prev Med. 1995 Mar;24(2):142-8
7597016
BMJ. 2008 Aug 07;337:a867
18687724
Am J Manag Care. 2004 Sep;10(9):617-24
15515994
Am J Prev Med. 2000 Jul;19(1):39-46
10865162
J Natl Cancer Inst. 2000 Feb 2;92(3):233-42
10655440
Cancer Epidemiol Biomarkers Prev. 1993 Nov-Dec;2(6):599-605
8268780
Patient Educ Couns. 1999 Jun;37(2):125-40
14528540
Acad Med. 2007 Dec;82(12):1178-86
18046123
Arch Fam Med. 1996 Jul-Aug;5(7):399-404
8664998
J Ambul Care Manage. 2005 Jul-Sep;28(3):241-53
15968216
Breast Cancer Res Treat. 2001 Jan;65(1):63-70
11245341
Isr Med Assoc J. 2002 Jun;4(6):424-5
12073414
Am J Prev Med. 2008 Jul;35(1 Suppl):S6-9
18541189
Implement Sci. 2008 May 29;3:29
18510749
Soc Work Health Care. 1995;21(4):59-70
8560369
Am J Manag Care. 2007 Aug;13(8):465-72
17685827
Am J Public Health. 1994 Jan;84(1):43-9
8279610
Cancer Detect Prev. 2007;31(5):417-23
18031947
Community Health Stud. 1990;14(4):357-64
2073774
Health Care Manage Rev. 1995 Spring;20(2):16-33
7607882
Qual Saf Health Care. 2002 Mar;11(1):45-50
12078369
Am J Prev Med. 1992 Mar-Apr;8(2):78-85
1599724
Cancer Detect Prev. 2006;30(6):535-44
17110056
Prev Med. 1998 Sep-Oct;27(5 Pt 1):748-56
9808807
Ann Intern Med. 2002 Jul 16;137(2):132-41
12118972
Cancer Causes Control. 2007 Feb;18(1):61-70
17186422
N Engl J Med. 2002 Apr 11;346(15):1128-37
11948273
J Med Screen. 2001;8(2):99-105
11480451
Am J Manag Care. 2004 Apr;10(4):273-9
15124504
J Fam Pract. 1998 May;46(5):397-402
9597997
Cancer. 2000 May 15;88(10):2398-424
10820364
Br J Gen Pract. 1992 Jan;42(354):18-20
1586526
Med Care. 2004 Nov;42(11):1040-8
15586830
Am J Health Promot. 1997 Mar-Apr;11(4):247-9
10165517
Cancer Detect Prev. 1999;23(3):254-64
10337005
Am J Prev Med. 2009 Jul;37(1):8-16
19442479