CANCER PREVENTION & CONTROL INNOVATIONS IN PRIMARY CARE

癌症预防

• 批准号: 6377095
• 负责人: KURT C STANGE
• 金额: $ 12.02万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-04-04 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6377095
• 关键词: cancer prevention; clinical research; disease /disorder etiology; early diagnosis; ethnic group; genetic screening; human morbidity; human subject; medically underserved population; neoplasm /cancer diagnosis; neoplasm /cancer epidemiology; patient care management; patient care personnel attitude; primary care physician; psychological aspect of cancer

A lack of understanding of primary care practice has limited previous efforts to enhance delivery of cancer early detection and prevention services. As an NCI-funded independent investigator, the applicant has developed innovative new approaches to understanding and enhancing cancer prevention and control in community primary care practice. Moreover, an Associate Director for Prevention, Control and Population Research at an NCI-designated Comprehensive Cancer Center, and as a director of one of 3 newly-funded family practice research centers, he has established mentoring relationships with junior investigators studying patient-oriented approaches to advancing the cancer prevention and control effectiveness of primary care practice. The proposed Midcareer Investigator Award in Patient-Oriented Research will use a multi-method research approach to advance cancer prevention and control in community primary care practice in 4 ways: 1) Expanded analysis of a rich existing dataset generated from the NCI-funded Direct Observation of Primary Care Practice (DOPC) Study, guided by a new theoretical model, will provide insights into previously unanticipated factors affecting cancer preventive service delivery in real world practice. 2) Collection and analysis of new data on high performing practices in the ongoing Study to Enhance Prevention by Understanding Practice (STEP- UP) will identify will identify practices' values, structures and processes that affect response to a prevention intervention. 3) These new data collection and analyses will be used to identify new intervention approaches to increase cancer investigators to develop innovative new interventions that integrate patient-oriented cancer screening, health habit counseling, familial risk identification and selective cancer genetic screening, and integration of population and clinical approaches to cancer prevention and early detection in primary care practice. This proposal builds on a strong set of ongoing investigations and investigators to create a critical mass of patient-oriented researchers. The innovative insights that are likely to spring from this initiative will advance the knowledge base for achieving the vas potential of primary care practice for cancer prevention and control.

缺乏对初级保健实践的了解限制了以前的努力，以加强癌症早期检测和预防服务的交付。作为NCI资助的独立研究者，申请人开发了创新的新方法来理解和增强社区初级保健实践中的癌症预防和控制。此外，他是NCI指定的综合癌症中心的预防，控制和人口研究副主任，作为3个新资助的家庭实践研究中心之一的主任，他建立了与研究患者研究方法的指导关系，以促进预防癌症预防和控制初级护理实践的有效性。拟议的以患者为导向研究的中型护理研究者奖将使用多方法研究方法来推动以4种方式进行社区初级保健实践中的癌症预防和控制方法：1）扩展对NCI资助的直接观察（DOPC）研究（DOPC）研究（DOPC）研究的富裕数据集的扩展分析，并以新的理论惯例为特殊的癌症提供了抗癌症，从而使癌症的疗法具有不断的癌症，以实现癌症的影响。 2）在正在进行的研究中收集和分析有关通过理解实践（步骤）来增强预防的高表现实践的新数据将确定实践的价值，结构和过程，从而影响对预防干预的反应。 3）这些新的数据收集和分析将用于确定新的干预方法，以增加癌症研究者，以开发创新的新干预措施，以整合以患者为导向的癌症筛查，健康习惯咨询，家族风险识别和选择性癌症遗传筛查，以及人群的整合和临床预防癌症预防和预防癌症治疗方法。该提案建立在一系列正在进行的调查和研究人员的基础上，以创建大量面向患者的研究人员。这项倡议可能会产生的创新见解将促进知识库，以实现预防癌症预防和控制的初级保健实践的VAS潜力。