A Root Cause Analysis of Barriers to Timely Colonoscopy in California Safety-Net Health Systems.

ABSTRACT:

Objectives

Safety-net health care systems, serving vulnerable populations, see longer delays to timely colonoscopy after a positive fecal occult blood test (FOBT), which may contribute to existing disparities. We sought to identify root causes of colonoscopy delay after positive FOBT result in the primary care safety net.

Methods

We conducted a multisite root cause analysis of cases of delayed colonoscopy, identifying cases where there was a delay of greater than 6 months in completing or scheduling a follow-up colonoscopy after a positive FOBT. We identified cases across 5 California health systems serving low-income, vulnerable populations. We developed a semistructured interview guide based on precedent work. We conducted telephone individual interviews with primary care

SUBMITTER: Sharma AE 

PROVIDER: S-EPMC7688501 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature