COOPERATIVE GROUP OUTREACH PROGRAM

本申请中提出的NSABP合作小组外展计划 将增加接受最先进癌症护理的患者数量 通过进一步在社区中引入临床试验参与 布景。自1978年以来，NSABP一直维持着癌症控制网络 计划作为CGOP的一部分。向社区医生提供了支持 以及成功进行和记录 治疗方案准确有效。详细的回顾和 对癌症控制网络计划进行了分析。 目前的提案将维持和扩大正在进行的网络计划 通过分布在不同地理位置的24个本地网络 实现计划目标，其中包括，除了 患者进入临床试验，a)提高社区技能 医生和其他保健专业人员继续教育，b) 发展和维持高标准的护理，通过提供必要的 支助服务和制定质量控制程序和c) 迅速传播新的治疗信息。计划范围内的其他计划 努力将包括促进临床试验参与 到目前为止患者入境受到限制的地区，发展和 评价技术转让和参与的创新方法 在DCPC赞助的社区项目评估中。介绍了 新的NSABP网络机构提供了一个独特的资源来更好地衡量 以前瞻性的方式，CGOP对社区癌症护理的影响。一个 建议对几种可能的干预措施进行系统评估。

The NSABP Cooperative Group Outreach Program proposed in this application will increase the number of patients receiving state of the art cancer care by introducing clinical trial participation further into the community setting. Since 1978, the NSABP has maintained a Cancer Control Network Program as part of the CGOP. Community physicians were provided support and information necessary to successfully conduct and document the treatment regimens accurately and effectively. A detailed review and analysis of the Cancer Control Network Program is presented. This current proposal will maintain and expand the ongoing Network Program through twenty-four geographically dispersed local networks each designed to achieve the program objectives which include, in addition to entry of patients into clinical trials, a) improving the skills of community physicians and other health professionals through continuing education, b) developing and maintaining high standards of care by providing necessary support services and instituting quality control procedures and c) disseminating new treatment information rapidly. Additional program-wide efforts will include the promotion of clinical trial participation in regions where patient entry to date has been limited, the development and evaluation of innovative methods of technology transfer, and participation in DCPC-sponsored evaluation of community programs. The introduction of new NSABP Network institutions provides a unique resource to better measure in a prospective fashion, the impact of CGOP on community cancer care. A systematic evaluation of several possible interventions is proposed.