Sanford Community Cancer Program of the North Central Plains (NCORP)

项目总结 桑福德社区癌症计划(SCCP)仍然致力于其最初的目标和目的，如 我们2013年的申请。SCCP继续增加患者在癌症控制、预防和护理方面的参与 在其不断扩大的网络中提供、治疗和成像研究。上层的农村社区 中西部和中原地区代表着大量在癌症治疗、护理提供和治疗方面服务不足的人口 临床试验(PMID：24097196 PMID：22046848 PMID：19621978)。造成这种差距的原因是多方面的-- 但一个主要障碍是农村地区获得服务的机会。桑福德健康公司已经开发出一种 医院、癌症中心和诊所网络，提供高质量、多学科的癌症治疗， 临床试验，以及向这个服务不足的地区提供癌症护理。Sanford Health已将癌症护理指定为 卓越中心；将癌症护理提升为其服务患者的首要任务。SCCP已扩展 在过去五年中，从五个组件增加到七个组件，增加了两个新组件，以改善农村地区的试用情况 和服务不足的地区。据推测，这种照顾农村人口的差距可以通过以下方式来改善 利用有组织的SCCP网络社区。这份提案描述了NCI社区肿瘤学如何 研究计划(NCORP)伙伴关系将有助于在农村地区提供临床护理和临床试验 SCCP服务的区域。这将通过以下目标实现： 1.维持和加强对NCI癌症预防司(DCP)的稳健应计 通过七个组成部分进行临床试验。 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 提高参与度。 3.培育创新接入点，通过推广消除临床试验积累的障碍 和远程医疗。 4.扩大癌症护理服务研究基础设施。 通过这四个目标，桑福德社区癌症计划将继续提供NCI临床试验和 为农村六个州的数百万人提供最先进的癌症治疗和癌症护理服务 美国。SCCP通过外展和远程医疗向这些服务不足的农村地区提供临床试验的能力 作为一种治疗选择，患者群体增加了他们参与试验的机会。远程医疗 目前，农村社区现有的桑福德诊所提供肿瘤学咨询服务， 监护检查和化疗监督。作为一个以社区为基础的医疗保健组织，SCCP 将参与癌症护理提供研究的开发和实施，以更好地了解和 改善患者的预后。SCCP将设计和开发更多以社区为基础的调查员发起的 癌症护理提供试点项目的目标是与SCCP的主要研究基地合作。

PROJECT SUMMARY The Sanford Community Cancer Program (SCCP) remains committed to its original goals and aims as stated in our 2013 application. The SCCP continues to increase patient participation in cancer control, prevention, care delivery, treatment, and imaging studies across its expanding network. The rural communities of the upper Midwest and Central Plains represent a large underserved population for cancer treatment, care delivery and clinical trials (PMID:24097196 PMID:22046848 PMID:19621978). The reasons for this disparity 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, and cancer care delivery to this underserved area. Sanford Health has designated cancer care as a Center of Excellence; elevating cancer care as a top priority to the patients it serves. The SCCP has expanded from five to seven components in the past five years, adding two new components to improve trial access in rural and underserved areas. It is hypothesized that this disparity in care for this rural population can be improved by utilizing the organized SCCP network community. This proposal describes how the NCI Community Oncology Research Program (NCORP) partnership will help deliver clinical care and offer clinical trials across the rural area served by the SCCP. 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 seven 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. Expand Cancer Care Delivery Research infrastructure. Through these four aims the Sanford Community Cancer Program will continue to offer NCI clinical trials and provide state-of-the-art cancer treatment and cancer care delivery to millions of people across six states in rural America. The SCCP's ability to provide clinical trials through outreach and telemedicine to this underserved rural population of patients increases their opportunity for participation in a trial as a treatment option. Telemedicine services are currently provided in existing Sanford Clinics in rural communities to deliver oncology consultations, surveillance exams and chemotherapy oversight. As a community based health care organization, the SCCP will participate in the development and implementation of cancer care delivery research to better understand and improve patient outcomes. The SCCP will design and develop additional community based investigator-initiated Cancer Care Delivery pilot projects with the goal to collaborate with the SCCP's primary Research Bases.