DATA-BASED CANCER CONTROL PROJECT--STATE OF INDIANA

提出了一个四阶段的基于数据的干预项目，该项目将使用 NCI癌症控制范例，以降低#年癌症发病率和死亡率 印第安纳州通过实现以下目标： 识别、集成和评估国家和州数据源以 描述并预测印第安纳州居民的癌症经历。A数据- 印第安纳州的癌症计划将根据这些数据制定。 根据癌症计划制定、实施和评估干预措施 优先事项。从广泛的角度发起与癌症相关的立法活动 人口基础，包括州和地方、公共和私人提供者以及 健康服务的消费者。 在第一阶段，数据来源包括死亡率数据、专科患者 数据、风险因素流行数据、职业和环境数据、 印第安纳州癌症登记处的发病率数据，以及关于 将对癌症服务的位置和类型进行数据质量评估 以及在制定州癌症计划方面的实用性。癌症的关键领域 研究(戒烟、乳腺癌、宫颈癌、职业性 暴露、饮食因素和获得最先进的治疗)将 在对州癌症数据进行评估时应予以解决。分析将是 由印第安纳州卫生局(ISBH)的一个工作组执行 流行病学家和卫生规划师。癌症的资金来源 为第三阶段提出的干预措施将在本阶段确定。 在第二阶段，印第安纳州癌症咨询委员会将从 公共和私营医疗保健提供者、消费者和 监管者。利用ISBH工作组编写的数据，咨询 委员会将为该州制定一项全面的癌症计划。癌 控制干预措施将根据癌症计划的优先事项进行规划。 第三和第四阶段将由下列领域的干预措施组成： 印第安纳州的数据，以及对过程和结果的评价。双管齐下 立法干预涉及立法研究小组和公众 讲习班将导致在#年引入与癌症有关的立法。 1991年印第安纳州大会的会议。

A four-phase Data-Based Interventions Project is proposed which will use the NCI cancer control paradigm to reduce cancer morbidity and mortality in Indiana by achieving the following goals: Identify, integrate, and evaluate national and state data sources to describe and project the cancer experience of Indiana residents. A data- based cancer plan for Indiana will be created based on these data. Develop, conduct, and evaluate interventions, in accord with cancer plan priorities. Initiate cancer-related legislative activity from a broad population base including state and local, public and private providers and consumers of health services. In Phase I, data sources including mortality data, specialized patient data, risk factor prevalence data, occupational and environmental data, incidence data from the Indiana State Cancer Registry, and information on the location and type of cancer services will be evaluated for data quality and utility in developing a state cancer plan. Critical areas of cancer research (tobacco cessation, breast cancer, cervical cancer, occupational exposure, dietary factors, and access to state-of-the-art treatment) will be addressed in the evaluation of state cancer data. Analyses will be performed by a working group of Indiana State Board of Health (ISBH) epidemiologists and health planners. Funding sources for cancer interventions proposed for Phase III will be identified in this Phase. In Phase II, an Indiana Cancer Advisory Board will be formed from representatives of public and private health care providers, consumers, and regulators. Using data prepared by the ISBH Working Group, the Advisory Board will construct a comprehensive cancer plan for the state. Cancer control interventions will be planned based on the cancer plan priorities. Phase III and IV will consist of interventions in areas indicated by Indiana data, and evaluation of processes and outcomes. A two-pronged legislative intervention involving legislative study groups and public workshops will result in the introduction of cancer-related legislation in the 1991 session of the Indiana General Assembly.