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Examining The Utilization Of Preventative Colorectal Cancer Screening Among Americans Since The Passage Of The Affordable Care Act From The Providers’ Point Of View

Bolarinwa, Motolani
http://rave.ohiolink.edu/etdc/view?acc_num=frank1735827247399679

Abstract Details

2025, Doctor of Healthcare Administration (D.H.A.), Franklin University, Health Programs.
This dissertation investigates the impact of the Affordable Care Act (ACA) on the utilization of preventive colorectal cancer (CRC) screening among Americans under 65, focusing on healthcare providers' perspectives. The ACA, a significant healthcare reform, aimed to expand access to preventive services, including CRC screenings, vital for early detection and improved outcomes. This study employed quantitative analysis with a component of qualitative analysis utilizing a modified version of the Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) to gather quantitative and qualitative data from healthcare providers in Maryland, Virginia, and the District of Columbia. The quantitative analysis assessed changes in CRC screening rates, patient compliance, and the effects of ACA-related policy changes, while the qualitative analysis explored providers' insights on barriers to screening, the role of patient education, and the overall effectiveness of the ACA in improving preventive care. Findings indicate a substantial increase in CRC screening utilization and frequency since the ACA's passage, with healthcare providers perceiving significant improvements in patient access and compliance. However, the study also highlights ongoing challenges, including financial barriers and enhanced patient education. These insights are critical for informing future healthcare policies and practices to reduce disparities in CRC screening and improve overall preventive care outcomes. This research contributes to the growing body of literature on healthcare reform and preventive care, offering valuable perspectives from those directly involved in delivering care. The findings underscore the importance of continued efforts to address disparities and optimize the benefits of healthcare policies like the ACA.
Rachel Tate (Committee Chair)
Jesse Florang (Committee Member)
Jennifer Harris (Committee Member)
154 p.
Health; Health Care Management; Health Education; Health Sciences
Affordable Care Act (ACA); preventive care; colorectal cancer (CRC) screening; healthcare providers; patient compliance; healthcare reform; quantitative analysis; qualitative analysis; health disparities; preventive services; policy impact

Recommended Citations

Citations

  • Bolarinwa, M. (2025). Examining The Utilization Of Preventative Colorectal Cancer Screening Among Americans Since The Passage Of The Affordable Care Act From The Providers’ Point Of View [Doctoral dissertation, Franklin University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=frank1735827247399679

    APA Style (7th edition)

  • Bolarinwa, Motolani. Examining The Utilization Of Preventative Colorectal Cancer Screening Among Americans Since The Passage Of The Affordable Care Act From The Providers’ Point Of View. 2025. Franklin University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=frank1735827247399679.

    MLA Style (8th edition)

  • Bolarinwa, Motolani. "Examining The Utilization Of Preventative Colorectal Cancer Screening Among Americans Since The Passage Of The Affordable Care Act From The Providers’ Point Of View." Doctoral dissertation, Franklin University, 2025. http://rave.ohiolink.edu/etdc/view?acc_num=frank1735827247399679

    Chicago Manual of Style (17th edition)

frank1735827247399679
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© 2025, all rights reserved.
This open access ETD is published by Franklin University and OhioLINK.
Release 3.2.12