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Accessed. 06\/06\/2025: https:\/\/www.chcf.org\/wp-content\/uploads\/2021\/03\/HealthCareWorkforceAlmanac2021ImagingQRG.pdf."},{"key":"ref71","unstructured":"Medi-Cal targeted provider rate increases and investments. (2023). Accessed. June 6, 2025: https:\/\/www.dhcs.ca.gov\/Pages\/Medi-Cal-Targeted-Provider-Rate-Increases.aspx."},{"key":"ref72","unstructured":"California\u2019s health care safety net, 2021. essential access for millions. (2021). Accessed: June 6, 2025: https:\/\/www.chcf.org\/wp-content\/uploads\/2021\/06\/HealthCareSafetyNetAlmanac2021.pdf."},{"key":"ref73","unstructured":"What portion of Medi-Cal primary care visits are provided by health centers? An analysis by region, race, and ethnicity. (2022). Accessed. June 6, 2025: https:\/\/www.chcf.org\/publication\/portion-medi-cal-primary-care-visits-provided-health-centers\/."},{"key":"ref74","unstructured":"2020 decennial census. (2020). Accessed. June 6, 2025: https:\/\/data.census.gov\/table\/DECENNIALPL2020.P1?g=010XX00US."},{"key":"ref75","unstructured":"Los Angeles. vast and varied health care market inches toward consolidation, 2020. (2021). Accessed: June 6, 2025: https:\/\/www.chcf.org\/wp-content\/uploads\/2021\/01\/RegionalMarketAlmanac2020LosAngeles.pdf."},{"key":"ref76","unstructured":"Service planning areas. (2025). Accessed. 6\/6\/2025: http:\/\/www.publichealth.lacounty.gov\/ovp\/images\/RVPC\/RVPC_SPA@2x.png."},{"key":"ref77","unstructured":"Quick maps. (2025). Accessed. June 6, 2025: https:\/\/data.hrsa.gov\/map."},{"key":"ref78","unstructured":"South Los Angeles. health equity scorecard. (2008). Accessed: June 6, 2025: https:\/\/risingcommunities.org\/wp-content\/uploads\/2019\/11\/South-Los-Angeles-Health-Equity-Scorecard.pdf."},{"key":"ref79","unstructured":"Community health centers in Los Angeles County. expanding access to care for all. (2023). Accessed: February 15, 2023: https:\/\/ccalac.org\/wpcms\/wp-content\/uploads\/2025\/07\/CCALAC-Network-Adequacy-Report-1-Access-FINAL.pdf."},{"key":"ref80","unstructured":"Coverage in California at a glance, LA county. Insure the Uninsured Project (ITUP). (2023). Accessed: June 6, 2025: https:\/\/www.itup.org\/wp-content\/uploads\/2023\/07\/FINAL-Version-ITUP-LA-County-2023.pdf."},{"key":"ref81","unstructured":"Medi-Cal explained. 2024 managed care plans. (2023). Accessed: June 6, 2025: https:\/\/www.chcf.org\/resource\/medi-cal-explained-2024-medi-cal-managed-care-plans-by-county\/."},{"key":"ref82","unstructured":"Health Care LA. (2025). Accessed. June 6, 2025: https:\/\/healthcarela.org\/."},{"key":"ref83","unstructured":"Medi-Cal explained. how health centers are paid. (2022). Accessed: June 6, 2025: https:\/\/www.chcf.org\/resource\/medi-cal-explained-how-health-centers-paid\/."},{"key":"ref84","unstructured":"Health center controlled networks. (2023). Accessed. February 19, 2024: https:\/\/bphc.hrsa.gov\/technical-assistance\/strategic-partnerships\/health-center-controlled-networks."},{"key":"ref85","unstructured":"Maryland Governor Moore signs RadNet-supported legislation to make follow-up diagnostic imaging for breast and lung cancers more affordable. (2024). Accessed. February 23, 2024: https:\/\/www.radnet.com\/about-radnet\/news\/maryland-legislation-diagnostic-imaging."},{"key":"ref86","unstructured":"RadNet teams with the Florida Lung Health Coalition to drive early detection through screening. (2023). Accessed. February 23, 2024: https:\/\/www.radnet.com\/about-radnet\/news\/florida-lung-health-coalition-interview."},{"key":"ref87","unstructured":"Disproportionate Share Hospital (DSH) program. tentative eligibility list (SFY 2022-23). (2022). Accessed: June 6, 2025: https:\/\/www.dhcs.ca.gov\/formsandpubs\/publications\/Documents\/DSH\/DSH-Eligibility-List-FY22-23.pdf."},{"key":"ref88","unstructured":"2023 Scorecard on state health system performance. California. (2023). Accessed: June 6, 2025: https:\/\/www.commonwealthfund.org\/publications\/scorecard\/2023\/jun\/2023-scorecard-state-health-system-performance."},{"key":"ref89","unstructured":"Cancer facts &amp; figures 2017. (2017). Accessed. February 21, 2024: https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/annual-cancer-facts-and-figures\/20...."},{"key":"ref90","unstructured":"Estimated number of new cases &amp; deaths by state for 21 cancer sites 2024. (2024). Accessed. January 10, 2024: https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/annual-cancer-facts-and-figures\/20...."},{"key":"ref91","unstructured":"California Healthy Places Index. (2022). Accessed. 2\/23\/2024: https:\/\/map.healthyplacesindex.org\/?redirect=false."},{"key":"ref92","unstructured":"Report card. California. (2023). Accessed: February 15, 2024: https:\/\/www.lung.org\/research\/sota\/city-rankings\/states\/california."},{"key":"ref93","unstructured":"California tobacco facts and figures 2022. (2023). Accessed. June 6, 2025: https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CTCB\/CDPH%20Document%20Library\/ResearchandEvaluation\/FactsandFigures\/Ca...."},{"key":"ref94","unstructured":"California one of the states with the best grades in national annual State of Tobacco Control report; highlights flavored tobacco in local grades report. (2024). Accessed. June 6, 2025: https:\/\/www.lung.org\/ca\/state-of-tobacco-control\/2024."},{"key":"ref95","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-011-9615-0","article-title":"Small area estimates reveal high cigarette smoking prevalence in low-income cities of Los Angeles county","volume":"89","author":"Cui Y","year":"2012","unstructured":"Cui Y, Baldwin SB, Lightstone AS, Shih M, Yu H, Teutsch S. Small area estimates reveal high cigarette smoking prevalence in low-income cities of Los Angeles county. J Urban Health. 2012, 89:397-406. 10.1007\/s11524-011-9615-0","journal-title":"J Urban Health"},{"key":"ref96","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.200144","article-title":"Retail marketing of menthol cigarettes in Los Angeles, California: a challenge to health equity","volume":"18","author":"Smiley SL","year":"2021","unstructured":"Smiley SL, Cho J, Blackman KC, Cruz TB, Pentz MA, Samet JM, Baezconde-Garbanati L. Retail marketing of menthol cigarettes in Los Angeles, California: a challenge to health equity. Prev Chronic Dis. 2021, 18:E11. 10.5888\/pcd18.200144","journal-title":"Prev Chronic Dis"},{"key":"ref97","unstructured":"Radon. (2025). Accessed. February 15, 2024: http:\/\/publichealth.lacounty.gov\/eh\/safety\/radon.htm."},{"key":"ref98","unstructured":"Health impact of air pollution. (2023). Accessed. February 15,2024: https:\/\/www.lung.org\/research\/sota\/health-risks#peopleatrisk."},{"key":"ref99","unstructured":"OEHHA. CalEnviroScreenIndicator Maps v4.0. (2021). Accessed: June 6, 2025: https:\/\/oehha.ca.gov\/calenviroscreen\/report\/calenviroscreen-40."},{"key":"ref100","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djaa170","article-title":"State variation in low-dose computed tomography scanning for lung cancer screening in the United States","volume":"113","author":"Fedewa SA","year":"2021","unstructured":"Fedewa SA, Kazerooni EA, Studts JL, et al.. State variation in low-dose computed tomography scanning for lung cancer screening in the United States. J Natl Cancer Inst. 2021, 113:1044-52. 10.1093\/jnci\/djaa170","journal-title":"J Natl Cancer Inst"},{"key":"ref101","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.26422","article-title":"Broadened eligibility for lung cancer screening: challenges and uncertainty for implementation and equity","volume":"325","author":"Henderson LM","year":"2021","unstructured":"Henderson LM, Rivera MP, Basch E. Broadened eligibility for lung cancer screening: challenges and uncertainty for implementation and equity. JAMA. 2021, 325:939-41. 10.1001\/jama.2020.26422","journal-title":"JAMA"},{"key":"ref102","unstructured":"ACR. lung cancer screening locator tool. (2022). Accessed: June 6, 2025: https:\/\/www.acr.org\/clinical-resources\/clinical-tools-and-reference\/screening-resources\/lung-cancer-resources\/locator...."},{"key":"ref103","unstructured":"California\u2019s comprehensive cancer control plan, 2021-2025. (2021). Accessed. June 6, 2025: https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CDSRB\/CDPH%20Document%20Library\/CCCP\/CA_Comprehensive_Cancer_Control_Pl...."},{"key":"ref104","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.684558","article-title":"Examination of the association between access to care and lung cancer screening among high-risk smokers","volume":"9","author":"Li CC","year":"2021","unstructured":"Li CC, Matthews AK, Kao YH, Lin WT, Bahhur J, Dowling L. Examination of the association between access to care and lung cancer screening among high-risk smokers. Front Public Health. 2021, 9:684558. 10.3389\/fpubh.2021.684558","journal-title":"Front Public Health"},{"key":"ref105","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.18755","article-title":"Screening for lung cancer: effective recruitment methods","volume":"210","author":"Lee C","year":"2018","unstructured":"Lee C. Screening for lung cancer: effective recruitment methods. AJR Am J Roentgenol. 2018, 210:514-7. 10.2214\/AJR.17.18755","journal-title":"AJR Am J Roentgenol"},{"key":"ref106","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2021.12.002","article-title":"A lung cancer screening education program impacts both referral rates and provider and medical assistant knowledge at two federally qualified health centers","volume":"23","author":"Akhtar A","year":"2022","unstructured":"Akhtar A, Sosa E, Castro S, et al.. A lung cancer screening education program impacts both referral rates and provider and medical assistant knowledge at two federally qualified health centers. Clin Lung Cancer. 2022, 23:356-63. 10.1016\/j.cllc.2021.12.002","journal-title":"Clin Lung Cancer"},{"key":"ref107","unstructured":"State cancer profiles (2017-2021). (2024). Accessed. January 10, 2024: https:\/\/statecancerprofiles.cancer.gov\/incidencerates\/index.php."}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/341053-lung-cancer-screening-in-california-and-los-angeles-county-a-landscape-analysis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T17:19:18Z","timestamp":1782580758000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/341053-lung-cancer-screening-in-california-and-los-angeles-county-a-landscape-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,27]]},"references-count":107,"URL":"https:\/\/doi.org\/10.7759\/cureus.111619","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,27]]}}}