. 2012 Oct;58(10):e570–e577.

Table 2.

Focus group results of physicians’ attitudes toward the CCC program

THEME	SELECTED QUOTATIONS
Reactions to the CCC program in general	“I think [direct mailing of FOBT kits] is a good idea. Sometimes we forget at a visit … or if you give it to them, they don’t do it, so this is another way to incentify [sic] them … to do it.” (Non-PEM participant, 2010 Mar 29) “So [seeing patients in the office for CRC screening counseling] was somewhat contrary to how we’re running our practice as a family health team … we’re making same-day appointments available to people. For me, it would have been just as comfortable to do it on the phone.” (Pilot participant, 2010 Feb 11) “In my patient population I prefer that [the kit] not be sent. Because … as soon as they receive it they will be … coming to the office … panicked … so, I [would prefer] to wait for them to come and see me, and explain to them.” (PEM, non-Pilot participant, 2010 Mar 25) “As soon as they offered me $7 for giving out the kit and $5 for when the kit comes back with the response, I went after all of my patients and really tied it on them that it was their responsibility to do this because this was the best increase family doctors had in ages … we made it a humorous thing, but the point got across … if they didn’t do the kit I didn’t get my $5.” (Non-PEM participant, 2010 Mar 29) “I don’t mind the monetary gain, but I don’t like publicizing of that information or, making it look like I put this effort into solely obtaining that goal … it’s only justifiable if it’s being done to save lives or better people’s lives.” (PEM, non-Pilot participant, 2010 Apr 12)
CRC screening strategies used by non-Pilot participants	“Over the age of 50, annual fecal occult blood testing is what I do … usually … around a physical.” (PEM, non-Pilot participant, 2010 Apr 12) “We have [company name] software. It has a reminder and you can see how many patients have had … various [types of] screening. It generates a list of patients who have not had the FOBT done and [my secretary] phones each of the patients to come in for a kit.” (PEM, non-Pilot participant, 2010 Apr 12) “That’s where that [third party] service [provider] comes in. They’re very good … by using that service I found that … not only the colon cancer but some of the other screens that were available … everything adds up. Over the course of a year, a fairly substantial amount of money can be added to your income. I mean they’re a profit-making organization, they take I think up to 15% of the gross billings, but they send the mailings out and they’re pretty busy working on your behalf, so, I basically feel positively about it.” (Non-PEM participant, 2010 Mar 29)

THEME

SELECTED QUOTATIONS

Reactions to the CCC program in general

“I think [direct mailing of FOBT kits] is a good idea. Sometimes we forget at a visit … or if you give it to them, they don’t do it, so this is another way to incentify [sic] them … to do it.” (Non-PEM participant, 2010 Mar 29)
“So [seeing patients in the office for CRC screening counseling] was somewhat contrary to how we’re running our practice as a family health team … we’re making same-day appointments available to people. For me, it would have been just as comfortable to do it on the phone.” (Pilot participant, 2010 Feb 11)
“In my patient population I prefer that [the kit] not be sent. Because … as soon as they receive it they will be … coming to the office … panicked … so, I [would prefer] to wait for them to come and see me, and explain to them.” (PEM, non-Pilot participant, 2010 Mar 25)
“As soon as they offered me $7 for giving out the kit and $5 for when the kit comes back with the response, I went after all of my patients and really tied it on them that it was their responsibility to do this because this was the best increase family doctors had in ages … we made it a humorous thing, but the point got across … if they didn’t do the kit I didn’t get my $5.” (Non-PEM participant, 2010 Mar 29)
“I don’t mind the monetary gain, but I don’t like publicizing of that information or, making it look like I put this effort into solely obtaining that goal … it’s only justifiable if it’s being done to save lives or better people’s lives.” (PEM, non-Pilot participant, 2010 Apr 12)

CRC screening strategies used by non-Pilot participants

“Over the age of 50, annual fecal occult blood testing is what I do … usually … around a physical.” (PEM, non-Pilot participant, 2010 Apr 12)
“We have [company name] software. It has a reminder and you can see how many patients have had … various [types of] screening. It generates a list of patients who have not had the FOBT done and [my secretary] phones each of the patients to come in for a kit.” (PEM, non-Pilot participant, 2010 Apr 12)
“That’s where that [third party] service [provider] comes in. They’re very good … by using that service I found that … not only the colon cancer but some of the other screens that were available … everything adds up. Over the course of a year, a fairly substantial amount of money can be added to your income. I mean they’re a profit-making organization, they take I think up to 15% of the gross billings, but they send the mailings out and they’re pretty busy working on your behalf, so, I basically feel positively about it.” (Non-PEM participant, 2010 Mar 29)

CCC—ColonCancerCheck, CRC—colorectal cancer, FOBT—fecal occult blood testing, PEM—patient enrolment model, Pilot—ColonCancerCheck Primary Care Invitation Pilot.