| Mailing campaign |
“I think it would work great … we’ll be catching the people that may be falling through the cracks.” (PEM, non-Pilot participant, 2010 Apr 12) “The more standardized the letter, the better …. Because patients, they’ll come to identify with the letter.” (PEM, non-Pilot participant, 2010 Apr 12) “The letter is a fantastic idea … along the lines of the Ontario Breast Screening Program … a lot of my patients enrolled in that program do get … mammograms every 2 years because of it.” (Non-PEM participant, 2010 Mar 29) “It educates patients about what FOBT is … if people know about [it] they’re more likely to, to come in and see us and talk about it. They’ll be more receptive when we bring it up as part of the complete physical … I think we’ll capture more of the patient population this way.” (Non-PEM participant, 2010 Mar 29) “I did not have time to fit people in for appointments who … have a decent understanding and just need to pick up the kit.” (Pilot participant, 2010 Feb 11) “I find that there are many people who are not that conversant with English and they might not understand or … might be scared they have cancer and … run to the doctor’s.” (Non-PEM participant, 2010 Mar 29)
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| Validating lists of eligible patients |
“But I think 89% ... this is as good as I do in my office anyways, so that’s really good.” (PEM, non-Pilot participant, 2010 Mar 29) “A couple had just recently been diagnosed with bowel cancer … I was glad to have the option to say, ‘Oh, don’t send it out,’ because that would have made me look bad.” (Pilot participant, 2010 Mar 25) “If we were not to validate the addresses and we’re sending out … medical information by mail and some random person got it because we haven’t checked the addresses, would we be at any kind of risk around this confidentiality stuff?“ (Pilot participant, 2010 Mar 25)
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| Screening Activity Reports |
“Yes, I think these reports would be an important visual and … numerical reminder of whom we need to grab, both for myself and my staff.“ (PEM, non-Pilot participant, 2010 Apr 12) “[The p]art that really catches my eye is patients requiring follow up, particularly that red box—FOBT patients with positive results and no colonoscopy. That’s a critically important … we need to be aware … because something might have slipped by me.” (PEM, non-Pilot participant, 2010 Apr 12)
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| Implementing the Pilot in non-PEM practices |
“I think it’s a great idea. I think [that] some sort of electronic … method of sending out this information … would be in everyone’s best interests.” (Non-PEM participant, 2010 May 6) “A good 20% to 25% of our practice is walk-in clinics. I see somebody who’s seen 3 other doctors in the last week, so I don’t know how you would deal with them because, they go see multiple people and they’re not really associated with anybody.” (Non-PEM participant, 2010 Mar 29) “We don’t want to have any institution to basically use this to start to force patients onto a practice … just because of an invitation.” (Non-PEM participant, 2010 May 6) “I am just wondering [if] this extra virtual rostering thing [is a] necessary step or are you gonna lose a lot of physicians by not getting … appropriate buy-in. Has someone considered the mass mail-out … and then put it in the patient’s hands to bring in? Why try to do this whole linking thing?” (Non-PEM participant, 2010 May 6)
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