Examining the Cost-Effectiveness of Introducing Patient Navigation Services for Colorectal Cancer Screening Among a Low-Income and Uninsured Population.
Background: The colorectal cancer (CRC) screening adherence rate among the uninsured population in the United States (US) is lower than the overall rate across all US adults aged 45 to 75. Objectives: To assess the cost-effectiveness of community health worker (CHW) navigation services promoting CRC...
| Publicado en: | Health Services Insights Vol. 18; pp. 1 - 14 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
12/15/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190387566&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190387566 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 12/15/2025 vid: 18 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 190387566 190387566 190387566 10.1177/11786329251399778 190387566 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Examining the Cost-Effectiveness of Introducing Patient Navigation Services for Colorectal Cancer Screening Among a Low-Income and Uninsured Population. aug: au: Chen, Wen Hsin Ohsfeldt, Robert Côté, Murray Shipp, Eva Sanchez, Marivel Brandford, Arica Bolin, Jane N. affil: University of Illinois Chicago, IL, USA sug: subj: Cost Benefit Analysis Community Health Workers Patient Navigation Economics Colorectal Neoplasms Cancer Screening Economics Program Evaluation Medically Uninsured Low Socioeconomic Status Health Care Costs Evaluation Colorectal Neoplasms Prevention and Control Human Funding Source Texas Male Female Middle Age Aged Medically Underserved Healthcare Disparities Life Expectancy Occult Blood Descriptive Statistics Data Analysis Software Sensitivity and Specificity Colonoscopy Models, Theoretical Decision Making Cancer Screening Methods Retrospective Design Record Review Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: The colorectal cancer (CRC) screening adherence rate among the uninsured population in the United States (US) is lower than the overall rate across all US adults aged 45 to 75. Objectives: To assess the cost-effectiveness of community health worker (CHW) navigation services promoting CRC screening in a low-income, uninsured population. Methods: Using internal cost and effectiveness data from the Texas A&M Cancer Screening, Training, Education, and Prevention (CSTEP) program, which included 3196 participants, along with published sources such as the U.S. Preventive Services Task Force (USPSTF) recommendations, we estimated incremental cost-effectiveness ratios (ICERs) for CRC screening with CHW navigation versus usual care. The analysis was conducted from a societal perspective using Excel-based modeling in hypothetical cohorts initiating screening at age 45. Results: Under base-case assumptions, a 10 percentage-point improvement in CRC screening attributable to the program increased LYG by 0.160 at an additional lifetime cost of $101, resulting in an ICER of $3098 per LYG. One-way and two-way sensitivity analyses were conducted, varying program costs, screening rate improvements, lifetime CRC costs, and life-years gained (LYG). Conclusion: Our findings underscore the importance of CHW navigation services incorporating CRC screening promotion strategies tailored to uninsured populations to alleviate disparities in colorectal cancer screening and outcomes. Further research should consider the characteristics of uninsured populations, and the applicability of the program targeted for various types of underserved populations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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