TABLE 3.
Cost estimates, $ | |||
---|---|---|---|
Cost category | Description | Average per patient | Range per patient |
Cost of patient reminders and CRC screening process | |||
Patient contact and FIT distribution | Initial contact with patient; provide patient with a prelabeled FIT kit along with instructions, collection date, and prestamped envelope; if patient has colonoscopy, obtain signed release form and fax to specialist; includes cost of FIT kit | 5.88 | 3.17–8.49 |
Patient tracking and reminders | Follow-up with patients, reminder calls and letters, outreach to return kits | 3.51 | 2.27–6.21 |
Process laboratory tests | Personnel and indirect cost associated with processing FIT kits | 1.89 | — |
Follow-up after positive FIT | Educate patient and refer to diagnostic colonoscopy; refer for treatment and follow-up | 7.84 | 5.41–11.07 |
Total cost, $ | Range per heath center, $ | ||
Cost of incentives (18-month period) | |||
FIT return rate bonus | 113,225.00 | 1,500–27,875 | |
CRC screening rate bonus | 18,050.00 | 500-$6,725 | |
Cost to process incentives | 2,172.30 | — | |
Total cost of Incentives | 133,447.30 | — | |
Additional screening tests (111 screening tests per month × 18 months), n | 1,998 | ||
Cost of the incentives per additional screening test | 66.79 |
Note. FIT = fecal immunochemical test; CRC = colorectal cancer.