Provider readiness and implementation barriers for lung cancer screening in a safety-net system.

ABSTRACT:

Objective

Lung cancer screening (LCS) with low-dose computed tomography is a critical preventive strategy, yet implementation remains complex, particularly in safety-net settings. This study assessed provider knowledge, attitudes, and readiness to implement LCS, including shared decision-making (SDM) and smoking cessation, within a large urban safety-net healthcare system.

Methods

A cross-sectional survey was distributed between February and September 2023 to 200 healthcare providers, including physicians, nurses, advanced practice providers, trainees, and administrators in Houston, Texas. The 26-item instrument assessed familiarity with Centers for Medicare & Medicaid Services (CMS) LCS coverage, SDM billing, role preferences in LCS implementation, support needs, and readin

SUBMITTER: Mejia MC 

PROVIDER: S-EPMC12272585 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature