Improving Colorectal Cancer Screening and Care in the Veterans Affairs Healthcare System

被引:40
|
作者
Chao, Herta H. [1 ,2 ]
Schwartz, Amy R. [1 ]
Hersh, Janis [3 ]
Hunnibell, Laura [1 ]
Jackson, George L. [4 ,5 ]
Provenzale, Dawn T. [4 ,6 ]
Schlosser, James [3 ,7 ]
Stapleton, Luke M. [8 ]
Zullig, Leah L. [4 ]
Rose, Michal G. [1 ,2 ]
机构
[1] VA Connecticut Healthcare Syst, Ctr Canc, West Haven, CT 06516 USA
[2] Yale Univ, Sch Med, Dept Med, New Haven, CT 06510 USA
[3] Bedford VA Med Ctr, Bedford, MA USA
[4] Durham Vet Affairs Med Ctr, Ctr Hlth Serv Res Primary Care, Durham, NC USA
[5] Duke Univ, Med Ctr, Div Gen Internal Med, Durham, NC 27710 USA
[6] Duke Univ, Med Ctr, Div Gastroenterol, Durham, NC 27710 USA
[7] Boston Univ, Sch Med, Boston, MA 02215 USA
[8] VA Med Ctr, Augusta, GA USA
关键词
5-Fluorouracil; Diagnostic reminder; Fecal occult blood testing; Noncolonoscopic screening; UNITED-STATES; QUALITY; AMERICAN; UPDATE;
D O I
10.3816/CCC.2009.n.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The Veterans Health Administration (VHA) has recently launched several nationwide initiatives to improve the quality of its colorectal cancer (CRC) screening and care. The timeliness of follow-up diagnostic tests in patients who have positive noncolonoscopic CRC screening tests is one of the target areas of these initiatives. Multiple aspects of colon cancer care are being monitored, and the degree of adherence to accepted quality measures is being assessed. The purpose of this review is to describe the background leading to these initiatives and their expected impact on CRC screening and management in the VHA.
引用
收藏
页码:22 / 28
页数:7
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