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Cost containment issues engender innovative approaches to health care delivery. Simon et al1 are to be congratulated for recognizing and capitalizing on a naturally occurring experiment. Although there may have been some methodological limitations in their study (eg, of the 80 000 patients who were randomized, only 20 938 were included in the analyses), the final result—that an automated telephone outreach with speech recognition (ATO) intervention failed to increase rates of colorectal cancer (CRC) screening—contributes to the evidence base on effective vs ineffective screening improvement interventions.
Sewitch M. Patient-Centric Colorectal Cancer Screening Improvement Strategies. Arch Intern Med. 2010;170(12):1088-1089. doi:10.1001/archinternmed.2010.157