Sanford Community Cancer Program of the North Central Plains

描述(由申请人提供)：中西部和中原北部的农村社区代表着大量在癌症治疗、护理和临床试验方面服务不足的人群。造成这种差异的原因是多方面的，但一个主要的障碍是获得 农村地区的服务业。Sanford Health建立了一个由医院、癌症中心和诊所组成的网络，为这个服务不足的地区提供高质量的多学科癌症治疗、临床试验和癌症护理服务。据推测，通过利用有组织的桑福德社区癌症计划(SCCP)网络社区，这种对农村人口的护理差距可以得到改善。该提案描述了NCI NCORP合作伙伴关系，以帮助在SCCP服务的农村地区提供临床试验和癌症护理服务。这将通过以下目标来实现：1./维持和增加NCI癌症预防部门(DCP)通过我们的五个主要组成部分支持的临床试验的强劲收益。2.解决服务不足和代表性不足人群在临床试验收益方面的差异，以增加参与度。3.培育创新的接入点，通过外联和远程医疗解决临床试验积累的障碍。4.发展癌症护理服务基础设施。通过这四个目标，桑福德社区癌症计划将改变最先进的临床试验、癌症治疗和癌症护理的实施，使居住在Rura America的五个州的大约200万人受益。这些人中的许多人距离最近的社区癌症中心超过2个小时的车程，这种情况由于4到6个月的恶劣天气而变得复杂，这可能会使旅行变得不可预测，而且往往是危险的。有能力通过外联和远程医疗向当地社区未得到充分服务的农村人口提供癌症护理，包括临床试验，确保及时、最佳治疗和改善结果。

DESCRIPTION (provided by applicant): The rural communities of the upper Midwest and Central Plains represent a large underserved population for cancer treatment, care delivery and clinical trials. The causes of this difference are multi-factorial but a main obstacle is access to services in rural regional areas. Sanford Health has developed a network of hospitals, cancer centers and clinics to provide high quality multi-disciplinary cancer treatment, clinical trials, ad cancer care delivery to this underserved area. It is hypothesized that this disparity in care for this rural population can be improved by utilizing the organized Sanford Community Cancer Program (SCCP) network community. This proposal describes the NCI NCORP partnership to help deliver clinical trials and cancer care delivery across the rural area the SCCP serves. This will be accomplished through the following aims: 1. /Maintain and enhance robust accrual to NCI Division of Cancer Prevention (DCP) supported clinical trials through our five primary components. 2. Address disparities in clinical trial accrual in underserved and underrepresented populations to increase participation. 3. Cultivate Innovative access points to address barriers to clinical trial accrual through outreach and telemedicine. 4. Develop a Cancer Care Delivery infrastructure. Through these four aims the Sanford Community Cancer Program will transform implementation of state of the art clinical trials, cancer treatment and cancer care delivery to approximately two million people across parts of five states living in rura America. Many of these people are more than 2 hours from the nearest community cancer center, a situation complicated by 4 to 6 months of harsh weather, which can make travel unpredictable and often dangerous. The ability to provide cancer care, including clinical trials, through outreach and telemedicine to this underserved rural population in their local communities ensures timely, optimal treatment and improved outcomes.