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Using Practice Facilitation to Increase Rates of Colorectal Cancer Screening in Community Health Centers, North Carolina, 2012–2013: Feasibility, Facilitators, and Barriers


The conceptual model that guided the study posits that consistent, high-quality delivery or use of an evidence-based practice, such as US Public Health Service colorectal cancer screening guidelines (implementation effectiveness), is a function of the office systems that a clinic employs (implementation policies and practices); the technical assistance provided by the practice facilitator (implementation support); and the resulting perception among clinic staff that consistent, high-quality delivery or use of an evidence-based practice is expected, supported, and rewarded (implementation climate).

Organizational model of innovation implementation, study on colorectal cancer screening in community health centers, North Carolina, 2012–2013. Abbreviation: TA, technical assistance.

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