Cancer and Primary Care: Informing the evidence base through international compar

癌症初级保健研究国际网络（Ca-PRI）网络致力于促进初级保健中的国际癌症研究，认识到初级保健在癌症控制中的重要作用。初级保健在美国医疗保健中发挥着关键作用-例如，它为协调美国患者的护理做出了重大贡献（Bodenheimer，2008）。在接下来的几年里，美国将进行重大的医疗改革;这些改革将包括对预防的高度重视（布里斯托，2009），改善癌症患者的健康结果将是一个高度优先事项。《2010年健康人民》（美国卫生与公众服务部，2010年）等倡议将癌症作为一个重点;它概述了一套全面的疾病预防和健康促进目标，并将减少健康差距列为优先事项。美国的初级保健能够很好地推动这些和其他癌症控制倡议中概述的许多变化（Wender & Althshirt，2009）;特别需要最大限度地发挥初级保健在癌症预防和筛查活动中的作用。 Ca-PRI网络的目的是通过加强初级保健在关键领域的作用，包括早期诊断，筛查吸收和生存率，改善美国和国际癌症患者的健康结果。Ca-PRI网络提供了一种机制，使美国和其他国家的研究人员能够分享专业知识，开展国际研究，以支持服务创新和发展。到目前为止，美国初级保健研究人员与国际同行展示他们的工作并分享他们的想法的机会有限：Ca-PRI网络允许研究人员参加致力于他们感兴趣领域的会议，并参与旨在改善初级保健在癌症控制中作用的证据基础的国际研究。 为此，北美初级保健研究小组（NAPRCG）与Ca-PRI网络一起在本提案中寻求NIH对Ca-PRI下一系列年度科学会议的支持;会议将在荷兰（2011年）、克利夫兰（2012年）和牛津（2013年）举行，还计划在2014年和2015年举行会议。寻求资金用于会议支持和奖学金计划。通过提供奖学金和增强会议资源，Ca-PRI网络及其年度国际会议将更容易为来自不同背景的美国研究人员所利用，并促进该领域年轻研究人员之间的合作。NIH的支持将与国家癌症慈善机构合作。 公共卫生相关性：每年有超过140万美国人被诊断患有癌症，美国约23%的死亡归因于癌症。初级保健在癌症控制中发挥着至关重要的作用;它涉及癌症旅程的所有阶段，包括提供筛查、症状诊断、随访和生存以及支持性和姑息治疗。尽管初级保健在美国卫生保健改革中占有重要地位，但与癌症研究的其他领域相比，指导加强初级保健在癌症控制中的作用的证据相对较少。这项建议旨在通过支持一系列专门用于开展国际比较研究的科学会议来加强这一证据基础。

DESCRIPTION (provided by applicant): The Cancer in Primary Care Research International Network (Ca-PRI) network is dedicated to fostering international cancer research in primary care, in recognition of the vital role of primary care in cancer control. Primary care has a key role to play in US health care - for example, it makes a major contribution to the co- ordination of care of US patients (Bodenheimer, 2008). Over the next several years there will be significant health care reforms in the US; they will include a strong focus on prevention (Bristol, 2009), and improving health outcomes for individuals with cancer will be a high priority. Initiatives such as Healthy People 2010 (US Department of Health & Human Services, 2010) include cancer as a key focus; it outlines a comprehensive set of disease prevention and health promotion objectives, and includes as a priority the reduction of health disparities. Primary care in the US is well-placed to drive many of the changes outlined in these and other initiatives in cancer control (Wender & Althshuler, 2009); there is a particular need to maximize the role of primary care in cancer prevention and screening activities. The aim of the Ca-PRI Network is to improve health outcomes of individuals with cancer, both in the US and internationally, by enhancing the role of primary care in key areas including early diagnosis, screening uptake, and survivorship. The Ca-PRI network provides a mechanism by which researchers from the US and other countries can share expertise and develop international research to underpin service innovation and development. Until now, there have been limited opportunities for US primary care researchers to present their work and share their ideas with international colleagues: the Ca-PRI network allows researchers to attend meetings dedicated to their field of interest, and to participate in international research aiming to improve the evidence base on the role of primary care in cancer control. To this end, the North American Primary Care Research Group (NAPRCG) together with the Ca-PRI network seeks in this proposal NIH support for the next series of Ca-PRI annual scientific meetings; meetings to be held in the Netherlands (2011), Cleveland (2012) and Oxford (2013), with 2014 and 2015 meetings also planned. Funding is sought for meeting support, and for a Scholarship Program. Through the provision of scholarships and enhanced meeting resource, the Ca-PRI network, and its annual international meeting, will become more accessible to US researchers from a diversity of backgrounds, and foster collaboration among younger researchers in this field. NIH support will be in conjunction with national cancer charities. PUBLIC HEALTH RELEVANCE: Over 1.4 million Americans are diagnosed with cancer each year, and approximately 23% of all deaths in the US are attributed to cancer. Primary care has a vital role in cancer control; it is involved in all stages of the cancer journey, including provision of screening, symptomatic diagnosis, follow-up and survivorship, and supportive and palliative care. Although primary care features strongly in US health care reform, in comparison to other areas of cancer research, there is relatively little evidence to guide efforts which enhance the role of primary care in cancer control. This proposal seeks to enhance that evidence base through support for a series of scientific conferences dedicated to the development of international comparative studies.