Access and Utilization of Colonoscopy: A Spacial Perspective
Source: American Cancer Society Mentored Research Scholar Grant
Period: 1/1/16 – 12/31/19
Role: Principal Investigator
Total Costs: $579,000
This study seeks to address gaps in our knowledge about geographic patterns in access to colonoscopy, insurance coverage and the impacts on patient outcomes.
To investigate geographic patterns in access to colonoscopy, insurance coverage and the impacts on patient outcomes, specifically polyp removal and stage at diagnosis, the specific aims of the study are to: 1) determine whether we have the workforce capacity, nationally and across U.S. states and counties, to reach the National Colorectal Cancer Roundtable goal of screening 80% by 2018; 2) compute spatial accessibility to colonoscopy in North and South Carolina over time, by insurance type; and 3) investigate whether polyp removal and stage at colorectal cancer diagnosis (SC only) are associated with individual and contextual factors including, but not limited to, patient race/ethnicity, insurance status and spatial accessibility to colonoscopy.
Josey M*, Eberth JM. Changing trends in practice settings for colonoscopy in SC: implications for colorectal cancer prevention. American Society of Preventive Oncology. Columbus, OH. 2016 March. [Poster]