Organizational predictors of colonoscopy follow-up for positive fecal occult blood test results: an observational study.

ABSTRACT:

Background

This study assessed the contribution of organizational structures and processes identified from facility surveys to follow-up for positive fecal occult blood tests [FOBT-positive (FOBT(+))].

Methods

We identified 74,104 patients with FOBT(+) results from 98 Veterans Health Administration (VHA) facilities between August 16, 2009 and March 20, 2011, and followed them until September 30, 2011, for completion of colonoscopy. We identified patient characteristics from VHA administrative records, and organizational factors from facility surveys completed by primary care and gastroenterology chiefs. We estimated predictors of colonoscopy completion within 60 days and six months using hierarchical logistic regression models.

Results

Thirty percent of patients with

SUBMITTER: Partin MR 

PROVIDER: S-EPMC4323731 | biostudies-literature | 2015 Feb

REPOSITORIES: biostudies-literature