BACKGROUND: Screening reduces incidence and mortality from colorectal cancer (CRC). Despite improved access, screening is suboptimal and disparate among minority groups. Quality of patient-provider communication may impact CRC screening. OBJECTIVES: We examined the relationship between patient-provider communication and socioeconomic variables on the receipt of CRC screening using data from the Medical Expenditure Panel Survey. SUBJECTS: All persons age 50 years or older (N = 8488). MEASURES: Dependent measures were receipt of CRC screening, fecal occult blood testing, and colonoscopy or sigmoidoscopy. Independent variables included demographic characteristics, patient language, and patient-provider communication measures from the Consumer Assessment of Health Plan survey. RESULTS: Patients who felt they had sufficient time with their healthcare provider were more likely to be screened for CRC. Receiving adequate explanation of healthcare needs from provider was a significant predictor of fecal occult blood testing screening. In addition, persons with less than a high school education, the uninsured, or those with low income were associated with reduced likelihood of receiving CRC screening. Asians and Hispanics had a significantly reduced likelihood of receiving screening in comparison with whites; however, after adjusting for language, no significant differences for race or ethnicity were observed. CONCLUSIONS: Adequate time with a healthcare provider and receiving sufficient explanation of the healthcare processes by providers may improve screening rates. Patient-provider communication may be improved by addressing language needs of non-English speaking patients. Overall improved communication may increase CRC screening rates in underserved populations.
BACKGROUND: Screening reduces incidence and mortality from colorectal cancer (CRC). Despite improved access, screening is suboptimal and disparate among minority groups. Quality of patient-provider communication may impact CRC screening. OBJECTIVES: We examined the relationship between patient-provider communication and socioeconomic variables on the receipt of CRC screening using data from the Medical Expenditure Panel Survey. SUBJECTS: All persons age 50 years or older (N = 8488). MEASURES: Dependent measures were receipt of CRC screening, fecal occult blood testing, and colonoscopy or sigmoidoscopy. Independent variables included demographic characteristics, patient language, and patient-provider communication measures from the Consumer Assessment of Health Plan survey. RESULTS:Patients who felt they had sufficient time with their healthcare provider were more likely to be screened for CRC. Receiving adequate explanation of healthcare needs from provider was a significant predictor of fecal occult blood testing screening. In addition, persons with less than a high school education, the uninsured, or those with low income were associated with reduced likelihood of receiving CRC screening. Asians and Hispanics had a significantly reduced likelihood of receiving screening in comparison with whites; however, after adjusting for language, no significant differences for race or ethnicity were observed. CONCLUSIONS: Adequate time with a healthcare provider and receiving sufficient explanation of the healthcare processes by providers may improve screening rates. Patient-provider communication may be improved by addressing language needs of non-English speaking patients. Overall improved communication may increase CRC screening rates in underserved populations.
Authors: Jennifer Elston Lafata; Tracy Wunderlich; Susan A Flocke; Nancy Oja-Tebbe; Karen E Dyer; Laura A Siminoff Journal: Transl Behav Med Date: 2015-03 Impact factor: 3.046
Authors: Rebecca Anhang Price; Marc N Elliott; Alan M Zaslavsky; Ron D Hays; William G Lehrman; Lise Rybowski; Susan Edgman-Levitan; Paul D Cleary Journal: Med Care Res Rev Date: 2014-07-15 Impact factor: 3.929
Authors: Adrianne C Feldstein; Nancy Perrin; Elizabeth G Liles; David H Smith; Ana G Rosales; Jennifer L Schneider; Jennifer E Lafata; Ronald E Myers; David M Mosen; Russell E Glasgow Journal: Med Decis Making Date: 2011-06-07 Impact factor: 2.583