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        Emerging Infectious Diseases Journal
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        Volume 5: No. 2, April 2008

        ORIGINAL RESEARCH
        Cost of Starting Colorectal Cancer Screening Programs: Results From Five Federally Funded Demonstration Programs

        A box labeled "Budget Categories" is at the top center of the chart. Arrows point to 4 boxes aligned horizontally below. They are labeled "Staff salaries," "Contract expenditure," "Purchases (materials/equipment)," and "Administrative expenditure." An arrow points from each box to a box centered below them and labeled "Allocations for specific activities." An arrow points from this box to a box directly beneath it, which is labeled "Activity-based cost."

        Figure 1. Approach to collection of cost data in study of start-up costs in five programs in Colorectal Cancer Screening Demonstration Program, 2005?006

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        Budget Categories Program
        1 2 3 4 5 Average
        Labor 67% 78% 55% 62% 74% 67%
        Materials and supplies 27% 5% 23% 5% 9% 14%
        Consultants 0% 0% 0% 0% 9% 2%
        Administrative 6% 17% 22% 34% 8% 17%

        Figure 2. Distribution of start-up costs, by budget category, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005?006. Numbers do not add up to 100% due to rounding.

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        Program management 28%
        Public education and outreach 9%
        Quality assurance and professional development 12%
        Partnership development and maintenance 5%
        Data collection and tracking 7%
        Patient support  8%
        Administrative/overhead 17%
        Other activities 3%

        Figure 3. Percentage distribution of start-up costs, by activity, averaged across the five programs in the Colorectal Cancer Screening Demonstration Program, 2005?006. Numbers do not add up to 100% due to rounding.

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        Start-Up Phase Activities Program 1 Program 2 Program 3 Program 4 Program 5
        Program management 30% 34% 25% 18% 34%
        Public education and outreach 6% 13% 13% 8% 6%
        Quality assurance and professional development 12% 13% 10% 11% 15%
        Partnership development and maintenance 4% 7% 1% 5% 7%
        Data collection and tracking 35% 15% 8% 11% 18%
        Patient support 6% 0% 19% 8% 7%
        Administrative/overhead 6% 17% 22% 34% 8%
        Other activities 1% 1% 2% 5% 6%

        Figure 4. Distribution of start-up costs, by activity, in study of five programs in Colorectal Cancer Screening Demonstration Program, 2005?006. Program 5 numbers do not add up to 100% due to rounding.

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