Lake Superior Rural Cancer Care Project, part I: an interventional trial.

Lake Superior Rural Cancer Care Project, part I: an interventional trial.
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苏必利尔湖农村癌症护理项目,第一部分:介入试验。

DOI:
10.1046/j.1523-5394.2001.91006.x
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发表时间:
2001
期刊:
Cancer practice.
影响因子:
--
通讯作者:
Jensen,PB
Jensen,PB
中科院分区:
--
文献类型:
--
作者:
Elliott,TE;Elliott,BA;Regal,RR;Renier,CM;Crouse,BJ;Gangeness,DE;Witrak,MT;Jensen,PB

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目的:迄今为止,有效的癌症护理和控制干预研究主要在城市和郊区人群中进行。本研究旨在使用实验设计来测试创新干预措施,以改善农村地区癌症患者的护理和结果。研究描述:苏必利尔湖农村癌症护理项目 (LSRCCP) 测试了一项涉及农村医疗保健提供者及其医疗保健系统的创新、多模式、多学科干预措施。采用实验设计,以农村社区为随机化单位。结果在三个层面上进行衡量:农村医疗服务提供者对癌症管理的了解、医疗服务提供者的实践表现和患者治疗结果。这项为期 5 年的研究在明尼苏达州北部、威斯康星州和密歇根州上半岛西部的农村地区进行。结果:提供了研究的基线数据,并介绍了设计和方法的详细信息。本期《苏必利尔湖农村癌症护理项目第二部分》部分报道了该研究结果,并将在以后的期刊中进一步报道。临床意义:本文介绍了 LSRCCP 的假设、设计和方法。这项研究的设计、方法以及结果可能对美国农村地区的癌症研究人员和临床医生有用。
Purpose:To date, effective cancer care and control intervention studies have been carried out largely in urban and suburban populations. This study was conducted to test innovative interventions, using experimental designs, to improve the care and outcomes of patients with cancer in rural settings.Description of Study:The Lake Superior Rural Cancer Care Project (LSRCCP) tested an innovative, multimodal, multidisciplinary intervention that involved rural healthcare providers and their healthcare system. An experimental design was used, with the rural community as the unit of randomization. Outcomes were measured at three levels: rural providers' knowledge of cancer management, providers' practice performance, and patient outcomes. This 5‐year study was conducted in rural areas of northern Minnesota, Wisconsin, and the western part of the Upper Peninsula of Michigan.Results:Baseline data from the study are provided, and details of the design and methods are presented. The study outcomes are reported in part in “Lake Superior Rural Cancer Care Project Part II” in this issue and will be reported further in future issues.Clinical Implications:This article describes the hypotheses, design, and methods of the LSRCCP. The design and methods as well as the results of this study may be useful to cancer researchers and clinicians in rural areas across the United States.
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