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172 Readiness to implement lung cancer screeningamong health care professionals from a safety-net healthcare system in the U.S
  1. Maria C Mejia1,
  2. Yu-Heng Hilary Ma2,
  3. Lisa M Lowenstein3,
  4. Kiara K Spooner1,
  5. Gabrielle Duhon3,
  6. Elisa E Douglas3,
  7. Robert J Volk3
  1. 1Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA
  2. 2Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
  3. 3Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

Abstract

Introduction Lung cancer screening (LCS) is a crucial preventive measure, yet its implementation involves multiple healthcare professionals and an understanding of current guidelines. This study assessed the knowledge, attitudes, and readiness of healthcare providers from a large, urban safety- net healthcare system in the U.S. regarding LCS, shared decision-making (SDM), and smoking cessation interventions.

Methods A survey was distributed to healthcare providers, including physicians, nurses, APPs, administrators, and trainees. The survey assessed familiarity with the Centers for Medicare & Medicaid Services (CMS) coverage requirements for LCS, awareness of coverage for patient counseling, preferred roles in smoking cessation interventions, support needs for implementing LCS, and readiness to engage in various aspects of LCS.

Results Among 74 respondents, the majority were physicians (64%), with specialties mainly in Family Medicine, and Oncology. About 32% were very familiar with CMS coverage for LCS, with a significant gap in awareness about coverage for SDM visits (73%). Respondents favored multidisciplinary involvement in LCS, including smoking cessation interventions. Key supports needed included clarity on guidelines (68%) and insurance coverage (61%), and patient decision aids (59%). Preferred decision aids for patients included videos in the exam (72%) and waiting rooms (67%), brochures (64%), digital aids via electronic medical records (52%), and office visit summaries (48%). The majority viewed the benefits of LCS as outweighing the risks (92%) and expressed readiness to engage in LCS-related activities. Opinions were mixed on the prioritization of resources towards smoking prevention versus LCS.

Discussion The findings highlight a need for enhanced awareness and education regarding LCS coverage and guidelines among healthcare providers. Multidisciplinary involvement is deemed essential in effective LCS implementation.

Conclusions Strengthening provider knowledge and readiness is vital for the effective implementation of LCS, emphasizing the need for comprehensive training and clear guidelines to facilitate SDM and smoking cessation efforts.

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