Clinical Practice Network

项目总结/摘要（临床实践网络） 宾夕法尼亚大学癌症护理远程医疗研究中心（Penn TRC） 临床实践网络是整合远程医疗研究与临床护理整个癌症护理 连续性，同时确保经历健康差异或数字化的患者获得护理， 分开要做到这一点，临床实践网络将提供领导和访问宾夕法尼亚大学医学的临床 生态系统-包括患者、医生和其他临床人员、临床站点、远程医疗能力，以及 临床信息学和数据基础设施-以确保成功完成该中心的计划务实 试验、试点项目以及未来的研究和传播。临床实践网络将提供理想的 为以患者为中心的可持续远程医疗模式生成强大证据库的环境 癌症护理服务的提供，同时也作为全国其他系统的模式。我们专注于肺 癌症作为整个护理连续体的远程医疗的典范，从筛查到治疗， 生存。宾夕法尼亚大学医学为大费城大都市区的多样化患者群体提供服务， 提供一个理想的环境，以测试远程保健战略的有效性和公平性，并确定如何 在整个癌症护理连续体中最佳地整合和维持远程保健。临床实践网络将 是一个综合的和跨学科的努力嵌入在卫生系统在宾夕法尼亚大学医学， 涵盖初级保健和肿瘤学护理的学术和社区临床站点，全部由共用肺提供服务 癌症筛查项目总的来说，参与的临床站点每年为超过40万名患者提供服务。 临床实践网络的具体目标是：1）提供进入初级保健网络的机会， 筛查和肿瘤临床站点，为不同的患者群体提供服务; 2）提供远程医疗服务， 临床信息学，以及支持实用试验和试点执行所需的数据基础设施 整个临床实践网络的项目;和3）提供领导和宾夕法尼亚州TRC活动的整合 在临床实践网络内的所有组件之间以及临床实践网络与所有 Penn TRC的其他成员。总的来说，这些目标确保了宾夕法尼亚大学TRC的研究人员将拥有 需要访问临床站点和人员，多样化和庞大的患者群体，以及远程医疗， 实施和评估远程医疗战略所需的临床信息学和数据基础设施 在务实的试验和试点项目中提出。实现这些目标将确保宾州TRC 通过远程医疗、通信科学和 行为经济学和传播癌症护理提供的循证远程保健模式。

PROJECT SUMMARY/ABSTRACT (CLINICAL PRACTICE NETWORK) The objective of the University of Pennsylvania Telehealth Research Center in Cancer Care (Penn TRC) Clinical Practice Network is to integrate telehealth research with clinical care across the cancer care continuum, while ensuring access to care among patients who experience health disparities or the digital divide. To do this, the Clinical Practice Network will provide leadership and access to Penn Medicine’s clinical ecosystem – including patients, physicians and other clinical personnel, clinical sites, telehealth capacity, and clinical informatics and data infrastructure – to ensure successful completion of the Center’s planned pragmatic trial, pilot projects, and future research and dissemination. The Clinical Practice Network will provide the ideal environment in which to generate a robust evidence base for patient-centered, sustainable telehealth models of cancer care delivery, while also serving as a model for other systems across the country. We focus on lung cancer as an exemplar model for telehealth across the care continuum, from screening to treatment to survivorship. Penn Medicine serves a diverse patient population in the greater Philadelphia metropolitan area, providing an ideal setting to test the effectiveness and equity of telehealth strategies and to identify how to integrate optimally and sustain telehealth across the cancer care continuum. The Clinical Practice Network will be an integrated and interdisciplinary effort embedded within the health system at Penn Medicine, with academic and community clinical sites spanning primary care and oncology care, all served by a common lung cancer screening program. Collectively, participating clinical sites serve more than 400,000 patients per year. The Clinical Practice Network’s specific aims are to: 1) Provide access to a network of primary care, cancer screening, and oncology clinical sites serving a diverse patient population; 2) Provide access to the telehealth, clinical informatics, and data infrastructure needed to support the execution of the pragmatic trial and pilot projects across the Clinical Practice Network; and 3) Provide leadership and integration of Penn TRC activities across all components within the Clinical Practice Network and between the Clinical Practice Network and all other components of the Penn TRC. Taken together, these aims ensure Penn TRC researchers will have the requisite access to clinical sites and personnel, a diverse and large patient population, and the telehealth, clinical informatics, and data infrastructure needed to implement and evaluate the telehealth strategies proposed in the Pragmatic Trial and pilot projects. Achieving these aims will ensure the Penn TRC is successful in improving cancer care effectiveness and equity through telehealth, communication science, and behavioral economics and disseminating evidence-based telehealth models of cancer care delivery.