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Cancer Screening at a Federally Qualified Health Center: A Qualitative Study on Organizational Challenges in the Era of the Patient-Centered Medical Home

Abstract  

Federally Qualified Health Centers (FQHCs) serve uninsured and minority populations, who have low cancer screening rates.
The patient-centered medical home (PCMH) model aims to provide comprehensive preventive services, including cancer screening,
to these populations. Little is known about organizational factors influencing the delivery of cancer screening in this context.
We conducted 18 semi-structured interviews with clinic personnel at four FQHC clinics in Washington State. All interviews
were recorded and transcribed verbatim and analyzed by two bilingual coders to identify salient themes. We found that screening
on-site, scheduling separate visits for preventive care, and having non-provider staff recommend and schedule screening services
facilitated the delivery of cancer screening. We found work overload to be a barrier to screening. To successfully implement
screening strategies within the PCMH model, FQHCs must enhance facilitators and address organizational gaps in their cancer
screening processes.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-8
  • DOI 10.1007/s10903-012-9701-8
  • Authors
    • Javiera Martinez-Gutierrez, Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, USA
    • Esther Jhingan, Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, USA
    • Antoinette Angulo, Sea Mar Community Health Centers, Seattle, WA, USA
    • Ricardo Jimenez, Sea Mar Community Health Centers, Seattle, WA, USA
    • Beti Thompson, Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, USA
    • Gloria D. Coronado, Kaiser Permanente Center for Health Research, Portland, OR, USA
    • Journal Journal of Immigrant and Minority Health
    • Online ISSN 1557-1920
    • Print ISSN 1557-1912
Posted in: Journal Article Abstracts on 08/16/2012 | Link to this post on IFP |
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