Chapter One:

Significance of the Project:

Contextualizing CRC Screening Improvement:

Increasing screening rates is one of the most critical efforts to reduce the significant burden of colorectal cancer (CRC), which continues to be one of the leading causes of cancer-related death worldwide (Vilaro et al.,2021). By accentuating the venture’s importance in CRC screening, we feature shutting current gaps in screening take-up and help with early identification, further developing the potential for patient outcomes.

Economic Implications and Healthcare System Efficiency:

Patient outcomes and the healthcare system’s finances will significantly benefit from decreased colorectal cancer screening rates (Snoswell et al.,2020). The project’s ability to reduce the cost of late-stage cancer therapy and improve resource allocation is highlighted by highlighting its economic advantages. The drive is to work on the maintainability and effectiveness of the medical care framework by advancing brief and reasonable CRC screening administrations.

Advancing Public Health Objectives:

Raising the occurrence of colorectal cancer screening is predictable, with more significant general well-being objectives that help preventive therapy and decrease the complete weight of disease-related dreariness and demise (Santana et al.,2021). By placing the project in the context of public health goals, we emphasize the project’s potential to improve health at the population level. The drive expects to urge individuals to focus on their well-being and embrace proactive screening rehearses through centered intercessions and awareness campaigns.

Project Impact and Equity in Healthcare Access:

Clarifying the project’s importance highlights how revolutionary it may be in achieving public health goals, enhancing patient outcomes, and fostering healthcare fairness (Wallace et al.,2021). The project seeks to establish a more equitable healthcare environment where all persons have equal opportunity to obtain life-saving screening services by addressing inequities in screening access and supporting preventive care activities. The initiative aims to decrease the total burden of CRC on society and promote beneficial health habits via cooperative efforts and community participation.

Chapter Two: Article Summary

According to Goldman.S et al.(2015), Colorectal cancer (CRC) screening rates are disturbingly low, especially in risk groups without screening history. Fecal immunochemical assays (FITs) are promising screening procedures because of their lower barriers. Outreach initiatives have been shown to increase CRC screening rates, although their efficacy in those without prior screening history has yet to be discovered. A patient-level randomized controlled experiment will assess the influence of outreach on FIT adoption in this hard-to-reach group.

The research randomly assigned 420 individuals without CRC screening to outreach programs or standard treatment. The outreach strategy comprised postal FIT kits, reminders, and individualized phone calls. FIT completion within six months was the main consequence. Data analysis examined whether the outreach intervention increased FIT uptake significantly relative to standard treatment.

FIT uptake was much higher in outreach intervention patients than in usual care patients. In particular, 36.7% of outreach patients completed FIT, compared to 14.8% of typical care patients. Clinic visits rose with FIT completion rates. The outreach intervention became less effective with time, although it was still better than standard treatment. This underscores the necessity for continuous and maybe developing measures to preserve and improve CRC screening rates in those without previous screening. Research is needed to find the best and most sustainable ways to improve CRC screening in this susceptible group. 

The study carried out by Lee.B et al. (2020) aimed to assess the impact of advanced notification phone calls on the completion rates of fecal immunochemical test (FIT) kits among patients with a history of negative FIT results . In a safety-net health setting, the randomized controlled trial involved 3,240 participants who had previously undergone FIT screening. These individuals were randomly assigned to receive either an advanced notification call before the FIT kit mailing or no call. The primary outcome measured was the completion of FIT within 60 days following the intervention.

Results revealed that exceptional warning calls prompted a higher pace of FIT completion at the 60-day mark than those who didn’t get a call. At the one-year fo