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Emerging Infectious Diseases Journal
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Volume 5: No. 2, April 2008

ORIGINAL RESEARCH
Cost of Starting Colorectal Cancer Screening Programs: Results From Five Federally Funded Demonstration Programs

A box labeled "Budget Categories" is at the top center of the chart. Arrows point to 4 boxes aligned horizontally below. They are labeled "Staff salaries," "Contract expenditure," "Purchases (materials/equipment)," and "Administrative expenditure." An arrow points from each box to a box centered below them and labeled "Allocations for specific activities." An arrow points from this box to a box directly beneath it, which is labeled "Activity-based cost."

Figure 1. Approach to collection of cost data in study of start-up costs in five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006

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Budget Categories Program
1 2 3 4 5 Average
Labor 67% 78% 55% 62% 74% 67%
Materials and supplies 27% 5% 23% 5% 9% 14%
Consultants 0% 0% 0% 0% 9% 2%
Administrative 6% 17% 22% 34% 8% 17%

Figure 2. Distribution of start-up costs, by budget category, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006. Numbers do not add up to 100% due to rounding.

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Program management 28%
Public education and outreach 9%
Quality assurance and professional development 12%
Partnership development and maintenance 5%
Data collection and tracking 7%
Patient support  8%
Administrative/overhead 17%
Other activities 3%

Figure 3. Percentage distribution of start-up costs, by activity, averaged across the five programs in the Colorectal Cancer Screening Demonstration Program, 2005–2006. Numbers do not add up to 100% due to rounding.

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Start-Up Phase Activities Program 1 Program 2 Program 3 Program 4 Program 5
Program management 30% 34% 25% 18% 34%
Public education and outreach 6% 13% 13% 8% 6%
Quality assurance and professional development 12% 13% 10% 11% 15%
Partnership development and maintenance 4% 7% 1% 5% 7%
Data collection and tracking 35% 15% 8% 11% 18%
Patient support 6% 0% 19% 8% 7%
Administrative/overhead 6% 17% 22% 34% 8%
Other activities 1% 1% 2% 5% 6%

Figure 4. Distribution of start-up costs, by activity, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005–2006. Program 5 numbers do not add up to 100% due to rounding.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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