Opportunities for Improving Cancer Prevention at Federally Qualified Health Centers

Abstract

Federally qualified health centers (FQHCs) provide health care for low-income populations who are at increased risk for many cancers. As insurance expansion from the Affordable Care Act unfolds, FQHCs will likely experience an influx in high-risk patients. Organizations concerned with cancer hope to work with FQHCs to improve prevention and reduce disparities among low-income populations and want to optimize their resources and reach. Primary Care Associations (PCAs) are membership organizations for FQHCs and may be useful mediums for collaborating with FQHCs. This study aimed to explore PCA-FQHC relationship to find opportunities for collaboration among organizations to improve cancer prevention. Researchers conducted 21 interviews with representatives from PCAs and FQHCs across four western states. We found that cancer prevention must integrate with medical home transformation, electronic health record implementation, Uniform Data System outcomes, and existing routines. Collaboration opportunities included dissemination of culturally appropriate educational materials and support for patient navigators.