Providers Role in Colonoscopy Screening for Colorectal Cancer

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Objectives: To examine predictors of provider recommendations for colorectal cancer (CRC). Methods: We examined proportions of patients without prior screening for colonoscopy and their willingness to get a colonoscopy if recommended by a healthcare provider. Results: The rate of CRC screening with a colonoscopy within the recommended guidelines was 35%; provider recommendation rate for colonoscopy screening was 34.9%; and never-screened patients would receive a colonoscopy 78% when recommended by a provider. Provider recommendation was the best predictor for receiving a screening colonoscopy (OR 4.19; 95% CI, 1.91-9.22, p < .01). Conclusions: Physician recommendation for colonoscopy is the most effective strategy to promote screening colonoscopy in the US, but only one third of eligible patients recall such counseling.


Document Type: Research Article


Affiliations: 1: Thornbury Medical Care, Assistant Professor, American University of Barbados, School of Medicine, St. Michael, Barbados 2: Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA. 3: Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA 4: UCLA, California, USA 5: Director Preventive Medicine Residency Program, Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA

Publication date: March 1, 2014

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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