Table 1.
Characteristics of Responding FQHCs, and Reported Resources to Support Lung Cancer Screening Stratified by Current Implementation of Screening (N=110)
| Characteristics | Total | Providers offer screening (n=47) | Providers do not offer screening (n=42) | Don’t know if screening is offered (n=21) | p-valuea |
|---|---|---|---|---|---|
|
| |||||
| Site characteristicsb | |||||
| # of sites, Median | 4.0 | 6.0 | 3.0 | 4.0 | 0.06 |
| % of adults aged 55–74 years, M (SD) | 17.5 (5.1) | 17.6 (6.0) | 17.3 (4.4) | 17.4 (4.7) | 0.96 |
| % of adults using tobacco, M (SD) | 39.6 (9.9) | 39.3 (9.1) | 38.9 (10.3) | 41.5 (11.2) | 0.60 |
| Urban, n (% yes) | 54 (49.5) | 26 (55.3) | 16 (38.1) | 12 (57.1) | 0.19 |
| Respondent characteristics | |||||
| Role, n (% yes) | <0.001 | ||||
| Chief medical officer or clinical director | 72 (65.5) | 41 (87.2) | 23 (54.8) | 8 (38.1) | |
| CEO or COO | 19 (17.3) | 1 (2.1) | 11 (26.2) | 7 (33.3) | |
| Quality officer | 5 (4.5) | 2 (4.3) | 1 (2.4) | 2 (9.5) | |
| Other | 14 (12.7) | 3 (6.4) | 7 (16.7) | 4 (19.0) | |
| Time in position, n (% yes) | 0.90 | ||||
| Less than 1 year | 21 (19.1) | 9 (19.1) | 7 (16.7) | 5 (23.8) | |
| 1–3 years | 46 (41.8) | 21 (44.7) | 18 (42.9) | 7 (33.3) | |
| More than 3 years | 43 (39.1) | 17 (36.2) | 17 (40.5) | 9 (42.9) | |
| Resources to support screening, n (% yes) | |||||
| LDCT screening center within 30 miles | 45 (40.9) | 28 (59.6) | 12 (28.6) | 5 (23.8) | <0.001 |
| EHR lung cancer screening best practice alert | 6 (5.5) | 3 (6.4) | 3 (7.1) | 0 (0.0) | 0.47 |
| Routinely document pack-year smoking history | 59 (53.6) | 25 (53.2) | 21 (50.0) | 13 (61.9) | 0.67 |
| Pack-year smoking history accuracyc | 0.67 | ||||
| Very accurate | 17 (28.8) | 7 (28.0) | 5 (23.8) | 5 (38.5) | |
| Somewhat | 30 (50.8) | 12 (48.0) | 13 (61.9) | 5 (38.5) | |
| Not at all accurate | 4 (6.8) | 3 (12.0) | 0 (0.0) | 1 (7.7) | |
| Don’t know | 8 (13.6) | 3 (12.0) | 3 (14.3) | 2 (15.4) | |
| >1 smoking cessation resource that meets patient needs (e.g., referral to Quitline) | 81 (73.6) | 33 (70.2) | 33 (78.6) | 15 (71.4) | 0.65 |
Notes: Boldface indicates statistical significance (p<0.05). Percentages may not add to 100 due to rounding.
For continuous variables, mean values were compared across the 3 LDCT groups (Yes, No, Don’t Know) using one-way ANOVAs (or Welch’s ANOVAs, which adjust for unequal variances). For categorical variables, chi-square tests were used to compare the proportions in the different categories across the 3 LDCT groups.
From FQHC Uniform Data Source, 2013 reporting.
Only reported for the sites that routinely document pack-year smoking history.
LDCT, Low-Dose Computed Tomography; FQHC, Federally Qualified Health Center; CEO, chief executive officer; COO, chief operating officer; EHR, electronic health record.