Table 4:

Most common perceived patient- and clinic-level barriers and patient-level navigation activities in lower- and higher-performing clinics

	Lower-performing clinics	Higher-performing clinics	p-value
Perceived clinic-level barriers
Inadequate resources	72%	55%	0.02
Communication challenges	50%	45%	0.53
Other competing health issues	56%	40%	0.03
Perceived patient-level barriers
Fear of colonoscopy	65%	69%	0.53
Concerns about bowel prep	51%	43%	0.22
Colonoscopy not a priority	59%	37%	<0.01
Patient-level navigation activities
Discuss colonoscopy at clinic visit	83%	61%	<0.01
Patient education	75%	73%	0.72
Appointment reminders via telephone or mailed letters	53%	62%	0.22