title: Opportunities for improving cancer prevention at federally qualified health centers.
abstract: As the Affordable Care Act unfolds, federally qualified health centers (FQHCs) will likely experience an influx of newly insured, low-income patients at disparate risk for cancer. Cancer-focused organizations are seeking to collaborate with FQHCs and the Primary Care Associations (PCAs) that serve them, to prevent cancer and reduce disparities. To guide this collaboration, we conducted 21 interviews with representatives from PCAs and FQHCs across four western states. We asked about: FQHC priorities, barriers and facilitators to cancer prevention, the PCA-FQHC relationship, and collaboration opportunities for external organizations. FQHC priorities include medical home transformation, electronic health records, and clinical care; prevention efforts must integrate with these. Barriers to cancer prevention include competing priorities, inadequate patient insurance, and lack of reimbursement, while facilitators are the presence of patient navigators and cancer-related performance measures. Collaboration opportunities for external organizations include dissemination of culturally appropriate educational materials and support for patient navigators.
authors.affiliation: University of Washington Health Promotion Research Center, 1107 NE 45th St., Suite 200, Seattle, WA, 98105, USA, claireallen1@gmail.com.
authors.forename: Claire L
authors.initials: CL
authors.lastname: Allen
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Harris
authors.forename: Peggy A
authors.initials: PA
authors.lastname: Hannon
authors.forename: Amanda T
authors.initials: AT
authors.lastname: Parrish
authors.forename: Kristen
authors.initials: K
authors.lastname: Hammerback
authors.forename: John
authors.initials: J
authors.lastname: Craft
authors.forename: Bruce
authors.initials: B
authors.lastname: Gray
mesh_terms: D003299:Cooperative Behavior; D035082:Federal Government; D005260:Female; D006297:Health Services Accessibility; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D017057:Medically Uninsured; D009369:Neoplasms / Q000191:economics / Q000517:prevention & control*; D011203:Poverty; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care