STATE-OF-THE-ART CANCER MANAGEMENT IN RURAL AREAS

东南癌症控制联盟(S3C)和北卡罗来纳州 北卡罗来纳大学农村卫生研究项目 教堂山及其健康服务研究中心已经成立了一个 加强最先进癌症转移的联盟 区域癌症专科医生之间的诊断和治疗实践 (CCOP社区)和农村卫生保健提供者。长期的 目标是改善分期，增加患者比例 进入临床试验，并使这些患者能够在 他们的社区，只要合适就行。这一干预的设计 允许将新信息快速传输到14个社区 组成S3C。将开发一个快速的肿瘤报告系统 利用北卡罗来纳州中央癌症登记处和社区 肿瘤日志。将实施护士辅导员系统，以扫描 日志，跟踪患者，并提供初级保健医生在 为肿瘤提供社区资源的干预小组 关心。此外，护士协调人将协调病人的 使用化疗队或其他治疗设施进行治疗 社区医院。一个社区倡导癌症控制计划 将被用来通知初级保健医生和 他们所服务的人口对社区资源的使用也是如此。这个 维克森林大学综合癌症控制中心将 为护士辅导员和化疗护士提供培训。 临床方案的加入将由 癌症中心的化疗协调员，护士协调员， 以及区域肿瘤中心的化疗护士。协议 从癌症中心，CALGB，NSABP和RTOG可用于 社区参与。干预将在地区范围内进行 由位于北卡罗来纳州韦恩县的Goldsboro的S3C社区提供。这个 周边农村县杜普林、勒诺伊尔、格林、约翰斯顿和 桑普森将是这一进程的参与者。控制县 将是南卡罗来纳州格林伍德的S3C社区及其周围的县 萨鲁达、纽伯里、劳伦斯、阿本维尔和麦考密克。北方 北卡罗来纳州大学农村健康研究计划 卡罗莱纳在教堂山和卫生服务研究中心将 管理数据收集并评估护理模式的变化 这是社区干预的结果。

The Southeast Cancer Control Consortium (S3C) and the North Carolina Rural Health Research Program of the University of North Carolina at Chapel Hill and its health services research center have formed a coalition to strengthen the transfer of state-of-the-art cancer diagnosis and management practices between regional cancer specialists (CCOP communities) and rural health care providers. The long-term objectives are to improve staging, increase the proportion of patients entering clinical trials, and enable the treatment of these patients in their community, whenever appropriate. The design of this intervention allows the rapid transfer of new information to the fourteen communities composing the S3C. A rapid tumor reporting system will be developed utilizing the Central Cancer Registry of North Carolina and community tumor logs. A nurse facilitator system will be implemented to scan the logs, track patients, and provide the primary care physicians in the intervention group with community resources available for oncological care. Further, the nurse facilitator will coordinate the patient's treatment with the chemotherapy team or other treatment facilities at the community hospital. A Community Advocates Cancer Control Program will be utilized to inform both primary care physicians and the populations they serve as to the use of community resources. The Comprehensive Cancer Control Center at Wake Forest University will provide training for both nurse facilitators and chemotherapy nurses. Accession to clinical protocols will be administratively managed by the chemotherapy coordinators of the Cancer Center, the nurse facilitators, and the chemotherapy nurses of the regional oncology centers. Protocols from the Cancer Center, CALGB, NSABP and RTOG are available for community participation. The intervention will be conducted regionally by the S3C community of Goldsboro, located in Wayne County, NC. The surrounding rural counties of Duplin, Lenoir, Greene, Johnston and Sampson will be the participants in this process. The control county will be the S3C community of Greenwood, SC with its surrounding counties of Saluda, Newberry, Laurens, Abbenville and McCormick. The North Carolina Rural Health Research Program of the University of North Carolina at Chapel Hill and the Health Services Research Center will manage data collection and evaluate changes in patterns of care resulting from this community intervention.