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Colorectal cancer screening access within a rural and remote health care environment represents a complex systems problem. Existing modeling approaches are inadequate in their representation of health system complexity. A combined Collaborative Information Behavior (CIB) and Continuity of Care framework was developed to model the health care processes involved in screening access over time. This framework highlighted necessary information behavior supports and system gaps in screening access, supporting development of targeted informatics solutions to improve screening access and cancer outcomes. [ABSTRACT FROM AUTHOR]