Patients’ experiences with ‘sludge’ (administrative burden) in the cancer screening process and its relationship with screening completion, experience and health system distrust

• Li Li,
• Jeffrey S Stein,
• Vivian Zagarese,
• John W Epling,
• Michelle S Rockwell,
• Jamie K Turner,
• Brianna Chang,
• Ally Southworth,
• YingXing Wu,
• Paul Yeaton,
• Sarah H Parker

Affiliations

Li Li

Department of Family Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA

Jeffrey S Stein

1 Fralin Biomedical Research Institute at VTC, Roanoke, Virginia, USA

Vivian Zagarese

Department of Psychology, Virginia Tech, Blacksburg, Virginia, USA

John W Epling

Family and Community Medicine, Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA

Michelle S Rockwell

Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia, USA

Jamie K Turner

Family and Community Medicine, Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA

Brianna Chang

Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA

Ally Southworth

Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia, USA

YingXing Wu

Health Analytics Research Team, Carilion Clinic, Roanoke, Virginia, USA

Paul Yeaton

Division of Gastroenterology, Department of Internal Medicine, Carilion Clinic, Roanoke, Virginia, USA

Sarah H Parker

Department of Health Systems and Implementation Science, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA