Cost of Starting Colorectal Cancer Screening Programs: Results From Five Federally Funded Demonstration Programs

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Tangka, Florence K L ; Seeff, Laura ; DeGroff, Amy ; Gardner, James ; Ryerson, A Blythe ; Nadel, Marion ; Royalty, Janet ; Subramanian, Sujha ; Bapat, Bela
• Description:
  Introduction ; In 2005, the Centers for Disease Control and Prevention (CDC) started a 3-year colorectal cancer screening demonstration project and funded five programs to explore the feasibility of a colorectal cancer program for the underserved U.S. population. CDC is evaluating the five programs to estimate implementation cost, identify best practices, and determine the most cost-effective approach. The objectives are to calculate start-up costs and estimate funding requirements for widespread implementation of colorectal cancer screening programs. ; Methods ; An instrument was developed to collect data on resource use and related costs. Costs were estimated for start-up activities, including program management, database development, creation of partnerships, public education and outreach, quality assurance and professional development, and patient support. Monetary value of in-kind contributions to start-up programs was also estimated. ; Results ; Start-up time ranged from 9 to 11 months for the five programs; costs ranged from $60,602 to $337,715. CDC funding and in-kind contributions were key resources for the program start-up activities. The budget category with the largest expenditure was labor, which on average accounted for 67% of start-up costs. The largest cost categories by activities were management (28%), database development (17%), administrative (17%), and quality assurance (12%). Other significant expenditures included public education and outreach (9%) and patient support (8%). ; Conclusion ; To our knowledge, no previous reports detail the costs to begin a colorectal cancer screening program for the underserved population. Start-up costs were significant, an important consideration in planning and budgeting. In-kind contributions were also critical in overall program funding. Start-up costs varied by the infrastructure available and the unique design of programs. These findings can inform development of organized colorectal cancer programs.
• Subjects:
  • Original Research
  • Colorectal Neoplasms
  • Community Health Services
  • Financing, Government
  • Humans
  • Mass Screening
  • Medically Underserved Area
  • Time Factors
• Source:
  Prev Chronic Dis. 2008; 5(2).
• ISSN:
  1545-1151
• Pubmed ID:
  18341782
• Pubmed Central ID:
  PMC2396978
• Document Type:
  Journal Article
• Corporate as Subject:
  Centers for Disease Control and Prevention (U.S.) ; Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  5
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/4131/cdc_4131_DS1.pdf
• File Type:
  [PDF - 395.80 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:050f9c5ef1db7ddaef1735131f1711f956dee33beafe93ccd6681bc46b991539806877ab9cd7cbf186bedfbc61beddf9dcd5205a303bde6b6c786c5498c0be38