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CDC COMMUNITY GUIDE: Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Assessment & Feedback

CDC

An Evidence-Based Practice

Description

Provider assessment and feedback interventions both evaluate provider performance in delivering or offering screening to clients (assessment) and present providers with information about their performance in providing screening services (feedback). Feedback may describe the performance of a group of providers (e.g., mean performance for a practice) or an individual provider, and may be compared with a goal or standard.

The Community Preventive Services Task Force recommends provider assessment and feedback interventions on the basis of sufficient evidence of effectiveness in increasing screening for breast cancer (mammography), cervical cancer (Pap test), and colorectal cancer (FOBT).

Goal / Mission

To promote screening of breast, cervical, and colorectal cancers in community and healthcare settings.

Impact

Provider assessment and feedback can improve the delivery of recommended cancer screenings in relationship to other elements of the specific health care system.

Results / Accomplishments

Results from the Systematic Reviews:
This review included nine studies.
• Screening for breast, cervical or colorectal cancer: median increase of 13.0 percentage points (interquartile interval [IQI]: 11.5 to 30.5 percentage points).
-Completed breast cancer screening by mammography: estimated effects ranged from a 3.4 to 20.6 percentage point increase (4 study arms)
-Completed cervical screening by Pap test: estimated effects ranged from a 4.0 to 29.5 percentage point increase (4 study arms)
-Completed colorectal screening by FOBT: estimated effects ranged from a 12.3 to 23.0 percentage point increase (3 study arms)
• The recommendation to increase screening for breast and cervical cancer as well as colorectal cancer (through FOBT) should be applicable across various settings and provider training status may be related to magnitude of effect.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
http://www.thecommunityguide.org/index.html
Topics
Health / Cancer
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
Target Audience
Adults