THE APPALACHIA CANCER NETWORK

肯塔基大学的马基癌症中心与其主要联盟附属机构（宾夕法尼亚州立大学和西弗吉尼亚大学）、区域合作伙伴和社区癌症控制联盟合作，提议建立阿巴拉契亚癌症网络（ACN）。ACN将解决影响西弗吉尼亚州、肯塔基州、田纳西州、弗吉尼亚州、俄亥俄州、宾夕法尼亚州、马里兰州和纽约州阿巴拉契亚地区农村和医疗服务不足人口的关键癌症控制问题。ACN将扩大阿巴拉契亚地区农村、医疗服务不足和少数民族人口的职业控制意识，并通过研究和癌症控制活动，解决阿巴拉契亚地区利用癌症控制服务和最佳癌症治疗的主要障碍。ACN计划的长期目标是降低癌症发病率和死亡率，并防止未来的增加；减少获得癌症控制服务和规划（国家、州和地方）的障碍，并提高此类服务的利用率；提高癌症存活率；并促进整个阿巴拉契亚地区、州和社区癌症控制网络之间的更大协调和参与。项目目标：扩大目前ALIC项目基础设施，在整个阿巴拉契亚地区建立一个癌症控制合作伙伴的综合网络；制定和实施区域、州和地方癌症控制干预措施，重点是预防和治疗乳腺癌、宫颈癌、结肠癌/直肠癌和肺癌；增进对卫生保健机构和组织、卫生保健提供者和阿巴拉契亚居民认为的更多参与临床试验的障碍的了解；提高社区对临床试验的认识，以及对此类试验的招募和保留；测试该项目开发的创新CAN干预措施的有效性，以实现其目标；加强和扩大阿巴拉契亚地区的数据收集和研究工作；通过增加参与机构和其他合作伙伴向NIH/NCI提交的RO1和其他拨款，以及增加来自该地区解决癌症控制问题的科学家人数，成为NCI与社区研究之间的桥梁。

The Markey Cancer Center at the University of Kentucky, in collaboration with its key consortium affiliates (Pennsylvania State University and West Virginia University), regional partners and community-based cancer control coalitions, proposes the establishment of the Appalachia Cancer Network (ACN). The ACN will address critical cancer control issues that impact the rural, medically underserved population of Appalachia in the states of West Virginia, Kentucky, Tennessee, Virginia, Ohio, Pennsylvania, Maryland, and New York. The ACN will expand career control awareness within the rural, medically underserved, and minority populations of Appalachia, and through research and cancer control activities will address the key barriers to utilization of cancer control services and optimal cancer care within the Appalachian region. The long-term goals of the ACN program are to reduce cancer incidence and mortality and prevent future increases; reduces barriers to accessing cancer control services and programs (national, state and local) and increase utilization of such services; increase cancer survival; and stimulate greater coordination and participation among regional, state, and community cancer control networks throughout Appalachia. Program objectives: expand upon current ALIC project infrastructure to create an integrated network of cancer control partners throughout Appalachia; develop and implement regional, state and local cancer control interventions focusing on prevention and treatment for cancers of the breast, cervix, colon/rectum and lung; increase understanding of barriers to greater participation in clinical trials, as perceived by health care institutions and organizations, health care providers and Appalachian residents; increase community awareness of clinical trials, as well as recruitment to and retention in such trials; test the effectiveness of innovative CAN interventions developed by the program to address its targeted objectives; enhance and expand regional data collection and research efforts in Appalachia; serve as a bridge between NCI and community-based research, by increasing RO1 and other grant submissions to NIH/NCI from participating institutions and other partners and by increasing the number of scientists from the region that address cancer control issues.