DIFFERENCE IN PATIENT REPORTED BARRIERS BY CRC SREENING STATUS (N=198)1,a
![Tables showing Barriers for Screened and Unscreened patients](/-/media/project/exactcore/exactacademy/images/colorectal-cancer-screening/unmet-need/barriers/differences-screened/barriers-to-screening.png?h=307&iar=0&w=1000&rev=6c6da8d2042c4b8d89d7c04251a0ce42&hash=BB9079D0BD31936C0438B2C1331C2D5A)
- The number one barrier reported by unscreened patients was no recommendation/referral by a healthcare provider, followed by fear and finances1
- Among screened patients, fear and logistics were cited as the major barriers1
CLINICIAN-PERCEIVED BARRIERS TO CRC SCREENING (N=93)2,d
![Bar charts displaying provider and system barriers](/-/media/project/exactcore/exactacademy/images/colorectal-cancer-screening/unmet-need/barriers/provider-system-barriers/provider-and-system-barriers.png?h=435&iar=0&w=1000&rev=e6798e76a4a74d0cb1d747bd85567497&hash=1C82F71D1C20736E048CDEFE671D565F)
- Clinicians perceived that the number one provider barrier was lack of time to discuss screening2
- Clinicians perceived that the main system barriers were lack of a reminder system and lack of support staff2
- Clinicians were asked about their perceived patient barriers - they reported fear, finances, other health issues, lack of awareness, health literacy, and a fatalistic attitude toward cancer as the most common barriers2
References
1 Muthukrishnan M, Arnold LD, James AS. Patients’ self-reported barriers to colon cancer screening in federally qualified health center settings. Prev Med Rep. 2019;15:100896.
2 Wang H, Gregg A Qiu F, et al. Provider perceived colorectal cancer screening barriers: results from a survey of accountable care organizations. JOJ Public Health. 2017;1(2):555557.
3 Davidson KW, Barry MJ, Mangione CM, et al. Screening for colorectal cancer: US Preventive Services Take Force recommendation statement. JAMA. 2021;325(19):1965-1977.
Footnotes
a Cluster-randomized trial performed in 11 urban and rural safety-net primary care sites across two health systems aimed at evaluation of self-identified barriers to colorectal cancer screening (n=483). Data were collected through surveys administered in person, by phone or mail. Previously screened and unscreened participants (age ≥50) were asked about health insurance and access to care, and “What barriers/things got in the way of being screened?”
b Fear related to CRC screening manifested in different ways, with patients expressing concerns related to the procedure, sedation, and outcomes of the procedure.
c Other barriers include medical mistrust (n=4), lack of information on CRC screening (n=5), religious reasons (n=2), or they simply “don’t want to” (n=7).
d Survey-based study of 93 primary care providers from 13 Accountable Care Organization clinics, primarily in rural communities.
Last updated: 3/31/2023