A Two-Stage Model for Colorectal Cancer Screening

该KO 2研究职业奖申请概述了一个3年计划，将研究，教育和教学结合起来，以癌症预防和控制为导向，发展卫生服务研究的职业生涯。最近，卫生服务、结果研究和医患决策的重要性都在国家层面上被强调为预防肿瘤学研究的必要和未充分研究的领域[1，2]。本申请中提出的职业发展和研究计划旨在开始建立候选人作为卫生服务研究和癌症预防和控制的独立调查员。候选人之前的工作[3]为拟议研究的总体假设提供了方法学基础：使用结直肠癌筛查服务是一个两阶段的过程，包括适当的医生建议和患者的后续依从性。候选人的初步研究[4]和正在进行的工作提供了实际测试这一假设所需的初始数据。分阶段计划旨在为研究者提供接受癌症预防服务的基本过程的其余必要信息;特别关注如何改善医生的建议和CRC筛查的沟通，以及如何减少患者的障碍并促进患者对CRC筛查的决策。该提案通过探索影响医生和患者决策的健康服务和行为问题，推进了当前关于癌症筛查的知识。虽然这项拟议研究的结果将与结直肠癌筛查的最佳结果相关，但该框架也可能在预防性卫生保健的其他领域进行测试和应用。该补助金申请的职业发展部分旨在补充和补充研究计划，这将共同塑造候选人的职业生涯作为一个独立的调查员在卫生服务研究与预防的角度。

This KO2 Research Career Award application outlines a 3-year plan for combining research, education and teaching for development of a career in health services research with a cancer-prevention and control orientation. Recently, the importance of health services, outcomes research and physician-patient decision-making have all been highlighted at the national level as necessary and understudied areas for preventive oncology research [1,2]. The career development and research plan proposed in this application are designed to begin establishing the candidate as an independent investigator in health services research and cancer prevention and control. Prior work by the candidate [3] provides the methodological basis for the proposed study's overall hypothesis: that use of colorectal cancer screening services is a two-stage process, consisting of appropriate physician recommendations and subsequent compliance by patients. A preliminary study by the candidate [4] and work in progress supply the initial data needed to practically test this hypothesis. The-phased plan is designed to provide the remainder of necessary information of investigator the processes underlying receipt of cancer prevention services; focusing specifically on how to improve physician recommendations and communication of CRC screening, and how to reduce patient barriers and facilitate patient decision-making for CRC screening. This proposal advances current knowledge about cancer screening through an exploration of the health services and behavioral issues that influence physician and patient decision-making. Although the results of this proposed study will have relevance for achieving the best outcomes in colorectal cancer screening, the framework may also be tested and applied in other areas of preventive health care. The career development portion of this grant application is intended to both compliment and supplement the research plan, which together will shape the candidate's career as an independent investigator in health services research with a prevention perspective.