The Road Ahead: What if Gastroenterologists Were Accountable for Preventing Colorectal Cancer?

被引:14
作者
Lee, Jeffrey K. [1 ,2 ]
Levin, Theodore R. [3 ]
Corley, Douglas A. [3 ]
机构
[1] Univ Calif San Francisco, Dept Med, San Francisco, CA USA
[2] Univ Calif San Francisco, Div Gastroenterol, San Francisco, CA 94143 USA
[3] Kaiser Permanente No Calif, Div Res, Oakland, CA USA
基金
美国国家卫生研究院;
关键词
COLONOSCOPY; TOO;
D O I
10.1016/j.cgh.2012.12.014
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gastroenterologists traditionally have focused on providing high-quality colonoscopy in response to primary care physicians' referral of patients needing colorectal cancer (CRC) screening. As we travel down the Road towards "Accountable" Care and clinical integration, we (gastroenterologists) are increasingly becoming members of a team that is responsible for reducing CRC incidence and mortality for a population of patients. As Lee and his colleagues have forcefully demonstrated in this month's article, an organized approach to CRC screening using both colonoscopy and stool-based testing can result in extraordinarily high rates of screening and CRC prevention. They have thrown down the challenge for all other US health care systems. Can your system "Mind the Gap"?
引用
收藏
页码:204 / 207
页数:4
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