Patient Preferences Regarding Colorectal Cancer Screening: Test Features and Cost Willing to Pay Out-of-Pocket

Publication date: Available online 15 December 2015
Source:Current Problems in Diagnostic Radiology
Author(s): Courtney C. Moreno, Paul S. Weiss, Thomas L. Jarrett, David L. Roberts, Pardeep K. Mittal, John R. Votaw
PurposeThe purpose of this investigation was to evaluate whether test features would make an individual more or less likely to undergo colorectal cancer screening and how much an individual would be willing to pay out-of-pocket for a screening test.MethodsA survey was administered to consecutive adult patients of a general medicine clinic. The survey consisted of Likert-scale questions assessing the patients' likelihood of choosing a screening test based on various test characteristics. Additional questions measured the patients' age, race, gender and maximum out-of-pocket cost they would be willing to pay. Chi-square tests were used to assess the associations between the likelihood questions and the various demographic characteristics.ResultsSurvey response rate was 88.8% (213/240). Respondents were 48.4% female (103/213), 51.6% male (110/213), 82.6% Caucasian (176/213), 11.3% African-American (24/213), and 6.1% other (13/213). Risk of internal injury and light exposure to radiation were the least desirable test features. Light sedation was the only test feature that the majority of respondents (54.8%) indicated would make them likely or very likely to undergo a colorectal cancer screening test. The vast majority of respondents (86.8%) were willing to pay less than $200 out of pocket for a colorectal cancer screening test. There was not a statistically significant difference in the responses of males and females, or in the responses of individuals of different races or different ages regarding test features or the amount individuals were willing to pay for a screening test.ConclusionsSurvey results suggest that patient education emphasizing the low complication rate of CTC, the minimal risks associated with the low level radiation exposure resulting from CTC, and the benefits of a sedation-free test (e.g., no risk of sedation-related complication, no need for a driver) may increase patient acceptance of CTC. Additionally, an out of pocket cost of <$200 would be preferable from the patient perspective

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