The Rural Colon and Cervical Cancer Environmental Scan will use a mix of quantitative and qualitative techniques to identify opportunities for improving cancer screening uptake, follow-up of abnormal screening results, and timeliness and quality of treatment received among rural residents in South Carolina. Study methods will include on-site observation of routine care in various rural provider settings, consultations with physicians, insurers and patients, claims based analysis, and mapping of cancer outcomes and healthcare service points.