Publication Abstract

Authors: Carter-Harris L, Gould MK

Title: Multilevel Barriers to the Successful Implementation of Lung Cancer Screening: Why Does It Have to Be So Hard?

Journal: Ann Am Thorac Soc :-

Date: 2017 May 25

Abstract: The U.S. Preventive Services Task Force recommends lung cancer screening with low-dose computed tomography for long-term current and former smokers. However, lung cancer screening and its implementation is a complex issue. Screening has associated risks and potential harms that complicate the decision to screen for the patient, add to the already time-constrained clinical encounter for the provider, and present logistical and sociopolitical challenges in creating and implementing lung cancer screening programs for the health care system. As lung cancer screening is more widely implemented in the U.S., it is critical for health care systems to be cognizant of potential barriers to effective screening implementation at the patient, provider and system levels in order to design effective support interventions and proactively address potential impediments to this new screening option. This paper presents perspectives on these multilevel barriers to lung cancer screening.