Women in Survivorship Healthcare (WISH): Implementation of a Nurse Navigation Model for Medically Underserved Breast and Gynecologic Cancer Survivors using Project ECHO
女性幸存者医疗保健 (WISH):使用 ECHO 项目为医疗服务不足的乳腺癌和妇科癌症幸存者实施护士导航模型
基本信息
- 批准号:10021610
- 负责人:
- 金额:$ 19.77万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-09-20 至 2022-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAmerican Cancer SocietyAmerican Society of Clinical OncologyCancer ModelCancer SurvivorCancer SurvivorshipCaringCommunicationCommunitiesCommunity HealthcareCommunity MedicineCompanionsCompetenceComprehensive Cancer CenterContinuity of Patient CareCounselingData CollectionDiagnosisDiscipline of obstetricsEducational CurriculumEffectivenessEndometrial CarcinomaEnsureEnvironmentFaceFamily PracticeFunding OpportunitiesGeneral PracticesGeriatricsGuidelinesGynecologyHealthHealth Services AccessibilityHealthcareHealthcare SystemsInstitute of Medicine (U.S.)Internal MedicineKnowledgeMalignant Female Reproductive System NeoplasmMalignant NeoplasmsMeasuresModelingNew MexicoNursesOncologistOutcomePatient CarePatientsPopulation GrowthPopulation HeterogeneityPreventivePrimary Health CareProcessProviderRecommendationReportingResearchResearch PersonnelResearch SupportRisk stratificationRoleRural MinorityService delivery modelSpecialistTestingTrainingUniversitiesWomanadverse outcomeaging populationbasecancer therapycancer typecare outcomescare providerscohortcomorbidityethnic diversityexpectationexperiencefeasibility trialfollow-upgeographic populationimprovedinnovationlarge scale datamalignant breast neoplasmmedically underservedmeetingsmembermultidisciplinarynovelolder patientoncology servicepatient orientedpreferenceprimary care settingprovider networksrecruitscreeningsocioeconomic disparitysocioeconomicsstandard of caresurvivorshipsystematic reviewtreatment planning
项目摘要
Project Summary/Abstract
There are currently over 15 million cancer survivors in the US and this number is expected to exceed 20 million
by 2026 due to population aging and growth. In 2006, the Institute of Medicine (IOM) released a landmark
report outlining recommendations, including use of a survivorship care plan (SCP) to address the needs of
cancer survivors, and other organizations have issued guidelines to improve survivorship care. Despite this
recognition, research clearly documents the persistence of unmet needs among cancer survivors including less
than optimal preventive and cancer surveillance screening rates. Several barriers have been identified in the
effort to achieve optimal survivorship care: the current health care system is fragmented, difficult to navigate
and communication between oncologists and primary care providers is often minimal. Further, a predicted
shortage of oncologists/oncology services in relation to increases in cancer survivors highlights the need for
alternative solutions.
These circumstances underscore the urgent need to develop more effective models of care integration.
The IOM, American Cancer Society and the American Society of Clinical Oncology all emphasize the
importance of enhancing the role of primary care providers (PCPs)–general practice, family practice, obstetrics
and gynecology, geriatrics, and internal medicine–in survivorship care. The use of SCPs is increasingly
common, yet research has demonstrated implementation barriers that limit their effectiveness.
Despite research aimed at implementing integrated care models, systematic reviews conclude that no
standard of care exists for survivorship models. Encouragingly, studies have shown no differences in adverse
outcomes of patients cared for by PCPs as compared to oncologists for certain cancer types. Prior research
conducted by members of our research team, which serves as the basis for this proposal, found that both
PCPs and patients are willing to participate in a survivorship care model. New Mexico, a large, rural, minority-
majority state, with deep socioeconomic disparities that limit access to care, presents an ideal environment to
advance implementation of SCPs in a broader integrated care model. In order to systematically develop and
implement a survivorship care model, we have convened a partnership between community-based primary
care providers, researchers and clinicians in the University of New Mexico Comprehensive Cancer Center
(UNMCCC) and Departments of Family and Community Medicine, Obstetrics and Gynecology, and Project
ECHO (Extension for Community Healthcare Outcomes), an innovative telementoring platform. The overall
objective of the ECHO Women in Survivorship for Health (WISH) study is to implement and assess a
survivorship care model by training a network of primary care providers through Project ECHO and then
transitioning patients through nurse navigation and coordinated follow-up with a multidisciplinary specialist care
team at the UNMCCC.
项目总结/文摘
项目成果
期刊论文数量(0)
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Andrew Louis Sussman其他文献
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{{ truncateString('Andrew Louis Sussman', 18)}}的其他基金
Patient- and Practice-Centered Assessment of Self-Collection
以患者和实践为中心的自取评估
- 批准号:
8555412 - 财政年份:2011
- 资助金额:
$ 19.77万 - 项目类别:
Participatory Research to Understand the Translation of HPV Vaccine Policy
了解 HPV 疫苗政策转化的参与式研究
- 批准号:
7497826 - 财政年份:2008
- 资助金额:
$ 19.77万 - 项目类别:
Participatory Research to Understand the Translation of HPV Vaccine Policy
了解 HPV 疫苗政策转化的参与式研究
- 批准号:
7690200 - 财政年份:2008
- 资助金额:
$ 19.77万 - 项目类别:
Patient- and Practice-Centered Assessment of Self-Collection
以患者和实践为中心的自取评估
- 批准号:
8566819 - 财政年份:
- 资助金额:
$ 19.77万 - 项目类别:
Patient- and Practice-Centered Assessment of Self-Collection
以患者和实践为中心的自取评估
- 批准号:
8729296 - 财政年份:
- 资助金额:
$ 19.77万 - 项目类别:
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