Date of Award


Document Type


Degree Name

Doctor of Health Administration


College of Health Professions

First Advisor

Daniel Brinton

Second Advisor

Jillian B. Harvey

Third Advisor

Jami Jones


Colorectal cancer (CRC) is one of the top three leading causes of death in both men and women, as well as the second leading cause of cancer-related deaths in both men and women in the United States. Screening, on the other hand, can aid in the detection and prevention of CRC. Early reports suggested that colorectal screening compliance could significantly reduce the risk of mortality associated with CRC in people aged 50 to 75 years. Colonoscopy cancellations have been identified as a significant contributor to non-compliance with CRC screening in subsequent studies. However, research indicates that patient navigators are used in the most effective CRC screening compliance programs, particularly in underserved communities. Some of these limitations stem from the studies’ use of a single center or site model, which raises concerns about its generalizability to other settings. This consultative report examines the literature to address several factors that contribute to low colorectal cancer screening rates, such as patient cancellations, and recommends interventions to achieve and sustain the national goal of achieving and maintaining an 80 percent colorectal screening rate in the population. Following that, we look at the patient demographics associated with colonoscopy screening. In addition, identify the significant factors linked to colonoscopy screening cancellations. Finally, we discuss various interventions for increasing CRC screening.


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