Testing an Optimal Model of Patient-Centered Cancer Care

标题：测试以患者为中心的癌症护理的最佳模式 项目负责人：Edward H.瓦格纳，医学博士，公共卫生硕士 项目概述：癌症护理的早期阶段受到的研究关注相对较少。的 一段时间周围的诊断和此后不久涉及信息寻求，重大 决策，以及在情绪紧张的时候在多个供应商之间导航。目的 这项为期5年的提案的目的是在一项随机、对照的临床试验中开发和测试 肿瘤科护士护理管理（ONCM）计划，以支持癌症患者的早期过程。我们 主要目标是评估ONCM对生活质量、护理质量和其他结局的影响 为新诊断的乳腺癌、结直肠癌和肺癌患者提供的项目。干预措施将实施 并在团体健康（GH）的登记者中进行评估。这项加强癌症护理的创新战略将 支持临床沟通研究中心的总体目标，以测试最佳结构和流程 在临床系统中，促进以患者为中心的沟通和协调。为了研究结果， 我们将在基线、第4和第12天对所有研究患者及其各自的临床医生进行问卷调查， 基线后3个月。

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.