Evidence-Based Colorectal Cancer Screening for the Uninsured

Through this program, the investigators will test a systematic colon cancer screening outreach strategy for increasing screening completion among uninsured patients, not up-to-date with screening. The intervention will consist of mailed screening invitations, with processes such as phone reminders to promote screening and evidence based follow up. All patients will be randomly assigned to receive mailed invitations to complete a home fecal immunochemical test (FIT). Some patients will be randomly assigned to receive a small financial incentive on completion of FIT testing.

本研究项目中，研究者将针对未完成结直肠癌筛查、筛查依从性未达标的无医保患者，测试一套系统性的结直肠癌筛查外展策略，以提升该人群的筛查完成率。本次干预措施包含邮寄筛查邀请函，辅以电话提醒以推动筛查完成，以及基于循证医学的随访流程。所有受试者均将被随机分配，接收用于完成居家粪便免疫化学测试（Fecal Immunochemical Test, FIT）的邮寄邀请。部分受试者在完成该测试后，可获得小额经济奖励。