Colorectal Cancer Screening Bypass Behavior and Outcomes

Studies have shown that increased distance to the closest endoscopy provider is associated with lower screening utilization among Medicare enrollees. The purpose of this study is to expand beyond the Medicare population to examine the travel behaviors of the entire population, comparing urban vs. rural residents in obtaining endoscopies for colorectal cancer screening.

Publications

• Trends in Spatial Access to Colonoscopy in South Carolina, 2000-2014
  Journal Article
  University of South Carolina Rural Health Research Center
  Date: 06/2021
  This study looks at the availability of colonoscopy screenings in South Carolina between 2000 and 2014 with a focus on changes in spatial access for these preventive services.
• Who Performs Colonoscopy? Workforce Trends Over Space and Time
  Journal Article
  University of South Carolina Rural Health Research Center
  Date: 11/2017
  Using data from South Carolina from 2001-2010, this study looked at changes in the types of facilities doing colonoscopies as well as the any changes in who is performing them.