Occupational Outcomes of Adult Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study

Details

• Personal Author:
  Celedonia M ; Edwards K ; Feest S ; Hannon PA ; Phillips-Angeles E ; Shumann A ; Song L ; Stearns S
• Description:
  BACKGROUND: Fostering partnerships was critical to the success of the Colon Health Program (CHP) in Greater Seattle. The CHP was built on the Breast and Cervical Health Program (BCHP) framework. A replicable system to provide quality colorectal screening services for individuals with limited incomes and no health insurance was developed. METHODS: Partners were recruited and engaged during 3 programmatic phases: 1) development and start-up, 2) implementation, and 3) sustainability planning. Several tactics were used to develop trust and build bridges among the partners and to create an effective work group. RESULTS: The partners were critical to developing clinic policies, procedures, and systems to increase colorectal screening and improve follow-up; expanding access to colonoscopies; and initiating statewide dissemination of training and systems as well as policy change. The fecal occult blood test completion rate was 61%, and the colonoscopy completion rate was 78%. The colonoscopy navigation system was effective with a low "no show" rate (8%). The partners were instrumental in helping Washington State obtain funding from the Centers for Disease Control and Prevention to continue the CHP statewide. CONCLUSIONS: During implementation, key elements for success included: building the project on the successful BCHP framework, meticulous training of clinic staff about colorectal cancer and screening methods, frequent consultation to identify and solve problems, active support of the clinic administration, and the presence of a CHP champion in the clinic. Institutionalization of the CHP depended on: assessing progress after the first year, documenting experience with the program, disseminating lessons learned, engaging new partners, and determining steps to expand the program. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety
• Keywords:
  Author Keywords: Partnerships Clinic Policies, Procedures, And Systems To Increase Screening And Assure Follow-up Colon Cancer Colorectal Cancer Expand Access To Colonoscopies Health Care Medical Screening Partnership Program Dissemination
• ISSN:
  0008-543X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  117
• NIOSHTIC Number:
  nn:20057125
• Citation:
  Cancer 2013 Aug; 119(Suppl 15):2884-2893
• Contact Point Address:
  Lin Song, PhD, Public Health-Seattle & King County, 401 Fifth Avenue, Suite 1300, Seattle, WA 98104
• Email:
  lin.song@kingcounty.gov
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Cancer
• Supplement:
  15
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b2081e4a2f873a96459fdf9b20e3fba94fb48868341653ba5bd4ae7e330b012b44bc7a646f2e93dfc0aad3b63a89880a115bbc5a4baccfa968df8e69a432a95b
• Download URL:
  https://stacks.cdc.gov/view/cdc/214569/cdc_214569_DS1.pdf
• File Type:
  [PDF - 154.85 KB ]