COOPERATIVE GROUP OUTREACH PROGRAM

本申请中提出的NSABP合作小组外联方案 将增加接受最先进癌症治疗的患者数量， 通过将临床试验参与进一步引入社区， 设置. 自1978年以来，NSABP一直维持着一个癌症控制网络， 作为CGOP的一部分。 社区医生得到了支持 以及成功开展和记录 治疗方案准确有效。 的详细审查和 癌症控制网络计划的分析。 目前的建议将维持和扩大正在进行的网络计划 通过24个地理上分散的本地网络， 为了实现该计划的目标，其中包括，除了进入 a）提高社区的技能 医生和其他卫生专业人员通过继续教育，B） 通过提供必要的服务，发展和维持高标准的护理 支助服务和建立质量控制程序，以及c） 迅速传播新的治疗信息。 全方案额外 努力将包括促进临床试验的参与， 到目前为止，患者进入受限的地区， 评价技术转让的创新方法， DCPC赞助的社区项目评估 引入 新的NSABP网络机构提供了一个独特的资源，以更好地衡量 以前瞻性的方式，CGOP对社区癌症护理的影响。 一 建议对几种可能的干预措施进行系统评价。

The NSABP Cooperative Group Outreach Program proposed in this application will increase the number of patients receiving state of the art cancer care by introducing clinical trial participation further into the community setting. Since 1978, the NSABP has maintained a Cancer Control Network Program as part of the CGOP. Community physicians were provided support and information necessary to successfully conduct and document the treatment regimens accurately and effectively. A detailed review and analysis of the Cancer Control Network Program is presented. This current proposal will maintain and expand the ongoing Network Program through twenty-four geographically dispersed local networks each designed to achieve the program objectives which include, in addition to entry of patients into clinical trials, a) improving the skills of community physicians and other health professionals through continuing education, b) developing and maintaining high standards of care by providing necessary support services and instituting quality control procedures and c) disseminating new treatment information rapidly. Additional program-wide efforts will include the promotion of clinical trial participation in regions where patient entry to date has been limited, the development and evaluation of innovative methods of technology transfer, and participation in DCPC-sponsored evaluation of community programs. The introduction of new NSABP Network institutions provides a unique resource to better measure in a prospective fashion, the impact of CGOP on community cancer care. A systematic evaluation of several possible interventions is proposed.