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A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice

Colorectal cancer (CRC) cancer screening uptake is low in our diverse, outpatient teaching clinic. A state-level public screening programme was recently launched that provides faecal immunochemical tests or screening colonoscopy to all citizens aged 50–69 years via mailed invitations, with the possi...

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Autores principales: Mota, Pau, Auer, Reto, Gouveia, Alexandre, Selby, Kevin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440588/
https://www.ncbi.nlm.nih.gov/pubmed/30997416
http://dx.doi.org/10.1136/bmjoq-2018-000452
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author Mota, Pau
Auer, Reto
Gouveia, Alexandre
Selby, Kevin
author_facet Mota, Pau
Auer, Reto
Gouveia, Alexandre
Selby, Kevin
author_sort Mota, Pau
collection PubMed
description Colorectal cancer (CRC) cancer screening uptake is low in our diverse, outpatient teaching clinic. A state-level public screening programme was recently launched that provides faecal immunochemical tests or screening colonoscopy to all citizens aged 50–69 years via mailed invitations, with the possibility of earlier, opportunistic inclusion. Mailed outreach is expected to be rolled out over the next 5 years. In the interim, we aimed to increase CRC screening by accelerating the inclusion of patients into the programme by implementing a provider feedback programme with residents. We used billing reports to define the eligible target population and monthly lists of included patients to track progress. All residents received a standard intervention that provided basic training and communication tools facilitating shared decision making in CRC screening decisions. We then developed and implemented the intervention over 3 Plan-Do-Study-Act cycles in 2 of 4 groups of residents, each with 7 residents and approximately 250 eligible patients. The intervention consisted of individualised reports on the proportion of each resident’s patients that had been included in the screening programme and the names of patients who had not yet been included. The first group that received the intervention had included 58 of 232 eligible patients (25%) at 8 months after the feedback intervention and the second group 51 of 249 eligible patients (20%) at 4 months. In comparison, the 2 groups with only the standard intervention had included 32 of 252 (13%) and 27 of 260 (10%) of their patients, respectively, at 11 months after the baseline intervention. These results suggest that provider feedback to medical residents can promote resident self-awareness and increase the proportion of patients included in a public programme when provided in addition to educational interventions.
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spelling pubmed-64405882019-04-17 A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice Mota, Pau Auer, Reto Gouveia, Alexandre Selby, Kevin BMJ Open Qual BMJ Quality Improvement report Colorectal cancer (CRC) cancer screening uptake is low in our diverse, outpatient teaching clinic. A state-level public screening programme was recently launched that provides faecal immunochemical tests or screening colonoscopy to all citizens aged 50–69 years via mailed invitations, with the possibility of earlier, opportunistic inclusion. Mailed outreach is expected to be rolled out over the next 5 years. In the interim, we aimed to increase CRC screening by accelerating the inclusion of patients into the programme by implementing a provider feedback programme with residents. We used billing reports to define the eligible target population and monthly lists of included patients to track progress. All residents received a standard intervention that provided basic training and communication tools facilitating shared decision making in CRC screening decisions. We then developed and implemented the intervention over 3 Plan-Do-Study-Act cycles in 2 of 4 groups of residents, each with 7 residents and approximately 250 eligible patients. The intervention consisted of individualised reports on the proportion of each resident’s patients that had been included in the screening programme and the names of patients who had not yet been included. The first group that received the intervention had included 58 of 232 eligible patients (25%) at 8 months after the feedback intervention and the second group 51 of 249 eligible patients (20%) at 4 months. In comparison, the 2 groups with only the standard intervention had included 32 of 252 (13%) and 27 of 260 (10%) of their patients, respectively, at 11 months after the baseline intervention. These results suggest that provider feedback to medical residents can promote resident self-awareness and increase the proportion of patients included in a public programme when provided in addition to educational interventions. BMJ Publishing Group 2019-03-03 /pmc/articles/PMC6440588/ /pubmed/30997416 http://dx.doi.org/10.1136/bmjoq-2018-000452 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle BMJ Quality Improvement report
Mota, Pau
Auer, Reto
Gouveia, Alexandre
Selby, Kevin
A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title_full A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title_fullStr A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title_full_unstemmed A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title_short A provider feedback intervention to increase uptake of colorectal cancer screening in a Swiss academic general practice
title_sort provider feedback intervention to increase uptake of colorectal cancer screening in a swiss academic general practice
topic BMJ Quality Improvement report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440588/
https://www.ncbi.nlm.nih.gov/pubmed/30997416
http://dx.doi.org/10.1136/bmjoq-2018-000452
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