Key Construct Definitions
| Key Constructs | Definition |
|---|---|
| Domain: Inner Setting Construct: Implementation Climate | A climate within health care to improve and encourage lung cancer screening. |
| Participants noted the importance and value of lung cancer screening implementation and utilization. To prompt lung cancer screening, it would be helpful to create structured workflow processes, like electronic health record (EHR) reminders, to identify eligible patients. | |
| Domain: Inner Setting Construct: Networks & Communications | Formal or informal connections between individuals, units, services, and hierarchies. |
| The use of decision aids to guide decision-making conversations with patients could improve engagement with LCS, particularly in populations with lower health literacy, but there are barriers to use. | |
| Domain: Outer Setting Construct: Patient Needs, Resources, & Barriers | Barriers that are outside of the Health Care System control, usually to do with geographical distance, level of education of patients, economical or financial situation of patients. |
| Many PCPs perceived the geographic location of the low-dose CT as the biggest barrier. Many patients also do not have access to personal transportation, and others have a distrust of big cities and hospitals. | |
| Domain: Implementation Process Construct: Champions | A team member who takes the role of champion and spearheads a program within a clinic to motivate and encourage the patient population to engage. |
| Participants practicing in clinics without a lung cancer screening champion described an environment where clinic leadership were not visibly supportive of lung cancer screening, opposed to clinics with a champion. Champions were seen as key facilitators of screening implementation and uptake. They were seen as essential to successful lung cancer screening programs. |
Abbreviations: LCS, lung cancer screening; CT, computed tomography; PCP, primary care providers.