RESEARCH AND PRACTICE:
Charles E. Basch, Randi L. Wolf, Corey H. Brouse, Celia Shmukler, Alfred Neugut, Lawrence T. DeCarlo, and Steven Shea
Telephone Outreach to Increase Colorectal Cancer Screening in an Urban Minority Population
Am J Public Health 2006; 96: 2246-2253
[Abstract][Full text][PDF]
In reporting on the success of phone follow-up in their study of
outreach to increase CRC screening, Dr. Basch and his colleagues argue
that they have demonstrated the efficacy of a phone-based strategy for an
inner-city population. However, the criteria they used for study inclusion, that is, current employment and health insurance, greatly limit the generalizability of their work to most poor urban populations,
where employment may be spotty and health insurance rare. At our hospital-based pediatric asthma clinic serving poor and minority families in
Brooklyn, New York, we recently attempted to follow-up with our patient families by phone four weeks after their clinic visits. Despite the focused
work of an enthusiastic resident team, allowing up to four evening and
week-end calls to each family in a linguistically competent manner, only
113 out of 224 (50%) were ever reached. Although caretakers were willing,
when contacted, to engage in a meaningful follow-up “phone visit,” the
lack of consistent phone access in this community makes phone follow-up a
limited tool, at best.