Testing an Optimal Model of Patient-Centered Cancer Care

题目：检验以病人为中心的癌症护理的最佳模式

Title: Testing an Optimal Model of Patient-Centered Cancer Care Project Leader: Edward H. Wagner, MD, MPH Project Summary: The early phases of cancer care have received relatively little research attention. The period of time surrounding the diagnosis and shortly thereafter involves information seeking, momentous decision-making, and navigation among multiple providers at a time of intense emotional stress. The purpose of this 5-year proposal is to develop and test the efficacy in a randomized, controlled clinical trial of an Oncology Nurse Care Management (ONCM) program to support cancer patients early in their course. Our primary goal is to assess the impact on quality of life, quality of care, and other outcomes of an ONCM program for newly diagnosed breast, colorectal, and lung cancer patients. The intervention will be implemented and evaluated among enrollees of Group Health (GH). This innovative strategy to enhance cancer care will support the overall Clinical Communication Research Center goal to test optimal structures and processes within clinical systems that facilitate patient-centered communication and coordination. To study the outcomes, we will administer questionnaires to all study patients and their respective clinicians at baseline, and 4 and 12 months after baseline.