Colorectal cancer screening in Canada 2021/2022

Colorectal screening recruitment methods

Organized colorectal screening programs administer promotional, recruitment, and reminder strategies to invite eligible individuals to be screened. Recruitment strategies and methods vary across the country and may include physician referral, self-referral, or mailed invitation letters. Many jurisdictions require a referral from a physician prior to distribution of a screening kit, while others distribute kits to eligible individuals with a mailed invitation letter or after an invitation letter has been sent. Participants can also access a screening kit by contacting some screening programs directly or requesting a test online.

Initial colorectal screening recruitment strategies

P/T Physician referral Other healthcare provider referral (e.g., NP, community health nurse) Self-referral: In person Self-referral: Phone Self-referral: online FIT kit distribution at public events Referral through other screening programs Mailed invitation letters Kit automatically sent to participants Program website
ON ✓* ✓^
QC~ Nurse practitioner
Yes, referral can come from any health care provider

New: for retention strategy,
Yes, since 2019

Yes, there is a program website about colorectal cancer screening

ON: *NPs, Health Canada nurses at nursing stations, staff on mobile coaches
ON: ^Participant calls Telehealth Ontario
QC: ~Currently working on an expanded access strategy in opportunistic mode for people who do not have an easy access to a PCP.