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Implementation challenges and successes of a population-based colorectal cancer screening program: a qualitative study of stakeholder perspectives.


ABSTRACT:

Background

Few studies describe system-level challenges or facilitators to implementing population-based colorectal cancer (CRC) screening outreach programs. Our qualitative study explored viewpoints of multilevel stakeholders before, during, and after implementation of a centralized outreach program. Program implementation was part of a broader quality-improvement initiative.

Methods

During 2008-2010, we conducted semi-structured, open-ended individual interviews and focus groups at Kaiser Permanente Northwest (KPNW), a not-for-profit group model health maintenance organization using the practical robust implementation and sustainability model to explore external and internal barriers to CRC screening. We interviewed 55 stakeholders: 8 health plan leaders, 20 primary care p

SUBMITTER: Liles EG 

PROVIDER: S-EPMC4391591 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature