Monitoring Colorectal Cancer Screening at Scale: Conformance Checking and Bottleneck Detection in Northern Portugal

Hugo Monteiro, Bárbara Gonçalves, Ricardo Martinho, Óscar Felgueiras, Carlos Martins, MEDCIDS - Departamento de Medicina da Comunidade, Informação e Decisão em Saúde, Faculdade de Medicina da Universidade do Porto, Department of Mathematics, Faculdade de Ciências da Universidade do Porto, RISE Health, University of Leiria and Oeste, Centre for Health Technology and Services Research , University of Porto

Journal of Primary Care & Community Health

Published online on June 11, 2026

Abstract

Journal of Primary Care & Community Health, Volume 17, January-December 2026.
ObjectiveTo evaluate follow-up after positive faecal immunochemical test (FIT) results in a population-based colorectal cancer screening programme and identify pathway drift and operational bottlenecks relevant to primary care coordination.MethodsWe ...