Quality of Cancer Care Evaluation and Interventions

描述（由申请人提供）：我目前的研究议程分为两个主要领域。第一个领域是我关注的以人群为基础的方法来检查乳腺癌妇女的护理质量。第二个领域是评估在线通信和服务工具，以提高初级保健机构中癌症早期检测举措的质量。我未来五年的研究议程将在几个方面扩展我目前的工作。首先，我计划扩大我目前基于seer的人口研究项目，以解决乳腺癌妇女的护理质量问题。这将包括：1)对其他潜在边缘化患者群体的决定因素和结果进行额外的基于人群的研究；2)以人群为基础的干预研究，以改善乳腺癌妇女的沟通、治疗过程和结果。其次，我将为患者和提供者建立和评估新的在线沟通和服务工具，以改善初级保健机构的癌症筛查过程和结果。我的指导计划的目标是：1)提高来自密歇根大学的NIH研究者发起的肿瘤健康服务研究提案的数量和质量；2)通过我在密歇根大学领导的临床培训项目，培养研究员和初级研究人员对肿瘤相关健康服务研究的兴趣；3)为医学院招募新的研究人员，专注于肿瘤学的健康服务研究。为了实现上述目标，我将领导以下举措：1)获得校内和校外资金，以招募和支持肿瘤卫生服务研究的临床研究人员和非临床研究科学家；2)亲自指导这些调查人员走向成功的职业生涯；3)发展和指导教育项目以支持这一领域的研究；4)协调密歇根各专业学校在这一领域的努力。我的个人辅导计划的结构、过程和结果在申请中有详细的描述。

DESCRIPTION (provided by applicant): My current research agenda falls into two main areas. The first area is my focus on a population-based approach to examining the quality of care for women with breast cancer. The second area is the evaluation of online communication and service tools to improve the quality of cancer early detection initiatives in primary care settings. My research agenda over the next five years will extend my current work in several ways. First, I plan to expand my current SEER-based population research program to address the quality of care for women with breast cancer. This will include: 1) additional population-based studies of determinants and outcomes of other potentially marginalized patient populations; and 2) population-based intervention studies to improve communication, treatment processes and outcomes for women with breast cancer. Second, I will build and evaluate novel online communication and service tools for patients and providers to improve cancer screening processes and outcomes in primary care settings. The goals of my mentoring plan are 1) to increase the quantity and quality of NIH investigator-initiated proposals in oncology health services research from the University of Michigan; 2) to foster interest in oncology-related health services research by fellows and junior investigators through my leadership on clinical training programs at the University of Michigan; and 3) recruit new investigators to the medical school focused on health services research in oncology. In order to address the goals above I will lead the following initiatives: 1) to obtain intramural and extramural funding to recruit and support clinician investigators and non-clinician research scientists in oncology health services research; 2) to personally mentor these investigators towards a successful career; 3) to develop and direct educational programs to support this area of research; and 4) to coordinate efforts in this area across professional schools at Michigan. The structure, process and outcomes of my personal mentoring program are described in detail in the application.