Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program
IntroductionThe Centers for Disease Control and Prevention (CDC) funded the Colorectal Cancer Screening Demonstration Program in 2005. To assess the feasibility of providing community-based colorectal cancer screening, CDC is conducting a multiple-case study as part of a larger evaluation effort. Th...
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2008-04-01
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| Series: | Preventing Chronic Disease |
| Subjects: | |
| Online Access: | http://www.cdc.gov/pcd/issues/2008/apr/07_0205.htm |
| _version_ | 1827776798106058752 |
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| author | Amy DeGroff, MPH Jennifer Boehm, MPH Sonya Goode Green, MPH Debra Holden, PhD Laura C. Seeff, MD |
| author_facet | Amy DeGroff, MPH Jennifer Boehm, MPH Sonya Goode Green, MPH Debra Holden, PhD Laura C. Seeff, MD |
| author_sort | Amy DeGroff, MPH |
| collection | DOAJ |
| description | IntroductionThe Centers for Disease Control and Prevention (CDC) funded the Colorectal Cancer Screening Demonstration Program in 2005. To assess the feasibility of providing community-based colorectal cancer screening, CDC is conducting a multiple-case study as part of a larger evaluation effort. This article highlights key facilitators and challenges common to the five programs studied during the start-up period.MethodsThe multiple-case study that includes all five program sites is being conducted during the 3-year program as part of process evaluation efforts. Data collection for program start-up occurred during August 2005 through September 2006. Data include approximately 70 interviews with program staff and stakeholders, document review, and observations. Both case-specific and cross-case analyses were conducted.ResultsOn the basis of the cross-case analysis, we identified four factors that facilitated program start-up and four factors that challenged program start-up. Facilitating factors included 1) pre-existing program infrastructure, 2) partnerships, 3) clinical expertise, and 4) program champions. Factors challenging program start-up included 1) contracts with endoscopists, 2) resources for treating medical complications of screening and for cancer treatment, 3) administrative barriers, and 4) resource limitations. Additionally, preplanning was critical, allowing programs to efficiently initiate activities once funds became available.ConclusionThe most important facilitator identified was the ability to build on pre-existing infrastructure, which provided experienced staff, partnerships, and provider relationships, as well as aided program integration with other chronic disease programs. Results also suggest that substantial planning and partnership development can begin before funds are secured to implement a colorectal cancer screening program. |
| first_indexed | 2024-03-11T14:09:44Z |
| format | Article |
| id | doaj.art-f76c673450474f09a9a210ee5036bbcc |
| institution | Directory Open Access Journal |
| issn | 1545-1151 |
| language | English |
| last_indexed | 2024-03-11T14:09:44Z |
| publishDate | 2008-04-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Preventing Chronic Disease |
| spelling | doaj.art-f76c673450474f09a9a210ee5036bbcc2023-11-02T00:53:04ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512008-04-0152Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration ProgramAmy DeGroff, MPHJennifer Boehm, MPHSonya Goode Green, MPHDebra Holden, PhDLaura C. Seeff, MDIntroductionThe Centers for Disease Control and Prevention (CDC) funded the Colorectal Cancer Screening Demonstration Program in 2005. To assess the feasibility of providing community-based colorectal cancer screening, CDC is conducting a multiple-case study as part of a larger evaluation effort. This article highlights key facilitators and challenges common to the five programs studied during the start-up period.MethodsThe multiple-case study that includes all five program sites is being conducted during the 3-year program as part of process evaluation efforts. Data collection for program start-up occurred during August 2005 through September 2006. Data include approximately 70 interviews with program staff and stakeholders, document review, and observations. Both case-specific and cross-case analyses were conducted.ResultsOn the basis of the cross-case analysis, we identified four factors that facilitated program start-up and four factors that challenged program start-up. Facilitating factors included 1) pre-existing program infrastructure, 2) partnerships, 3) clinical expertise, and 4) program champions. Factors challenging program start-up included 1) contracts with endoscopists, 2) resources for treating medical complications of screening and for cancer treatment, 3) administrative barriers, and 4) resource limitations. Additionally, preplanning was critical, allowing programs to efficiently initiate activities once funds became available.ConclusionThe most important facilitator identified was the ability to build on pre-existing infrastructure, which provided experienced staff, partnerships, and provider relationships, as well as aided program integration with other chronic disease programs. Results also suggest that substantial planning and partnership development can begin before funds are secured to implement a colorectal cancer screening program.http://www.cdc.gov/pcd/issues/2008/apr/07_0205.htmcolorectal cancercolon cancercancer screeningscolorectal cancer screenings |
| spellingShingle | Amy DeGroff, MPH Jennifer Boehm, MPH Sonya Goode Green, MPH Debra Holden, PhD Laura C. Seeff, MD Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program Preventing Chronic Disease colorectal cancer colon cancer cancer screenings colorectal cancer screenings |
| title | Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program |
| title_full | Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program |
| title_fullStr | Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program |
| title_full_unstemmed | Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program |
| title_short | Facilitators and Challenges to Start-Up of the Colorectal Cancer Screening Demonstration Program |
| title_sort | facilitators and challenges to start up of the colorectal cancer screening demonstration program |
| topic | colorectal cancer colon cancer cancer screenings colorectal cancer screenings |
| url | http://www.cdc.gov/pcd/issues/2008/apr/07_0205.htm |
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