SBIR PHASE I TOPIC 406: MHEALTH TO UTILIZE CANCER SURVIVORSHIP NAVIGATION FOR BENEFIT (HUB)

十多年来，最佳实践指南一直建议癌症幸存者接受生存护理，其中包括监测癌症复发或新的恶性肿瘤，以及癌症及其治疗造成的慢性身体或心理社会影响。虽然生存护理可能存在于学术中心，但无论癌症类型和提供者如何，向幸存者提供这种护理仍存在实施差距。患者导航员可以弥补这一差距。然而，由于缺乏减少与导航有关的任务的认知和时间负担的综合办法，这些资源的能力严重吃紧，而这些资源传统上并不注重生存。我们的目标是开发和评估一个患者导航平台，专注于促进癌症护理连续体系后期阶段的导航任务，创建一个综合的生存护理计划，并使沟通、护理协调和教育成为可能。特别强调与现有工作流程和IT基础设施的整合。鉴于其移动基础设施，拟议的办法特别适用，以满足城市和农村社区幸存者的需要，包括那些癌症治疗和后续治疗可能具有挑战性、导致结果较差的人。因此，拟议的干预措施具有 改善生存护理和缩小差距的潜力。

For over a decade, best practice guidelines have recommended that cancer survivors receive survivorship care, which includes surveillance for recurrence or new malignancies and for chronic physical or psychosocial effects from cancer and its treatment. While survivorship care may exist in academic centers, an implementation gap remains to provide this care seamlessly to survivors regardless of cancer type and providers. Patient navigators can address this gap. However, the absence of integrated approaches to reduce the cognitive and time burden of navigation-related tasks has significantly strained the capacity of these resources, who traditionally have not been focused on survivorship. Our goal is to develop and evaluate a patient navigation platform focusing on facilitating navigation tasks in the later stages of the cancer care continuum, creating an integrated survivorship care plan and enabling communication, care coordination and education. Special emphasis is put on integration into existing workflows and IT infrastructure. The proposed approach is particularly adapted, given its mobile infrastructure, to address the needs of survivors in both urban and rural communities including those where access to cancer treatment and follow-up may be challenging, leading to inferior outcomes. The proposed intervention has therefore the potential to improve survivorship care and reduce disparities.