RURAL PARTNERSHIP LINKAGE FOR CANCER CARE

癌症护理的农村合作伙伴关系

• 批准号: 3200742
• 负责人: CHARLES W GIVEN
• 金额: $ 40.6万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-05-08 至 1997-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3200742
• 关键词: health care personnel education; human subject; neoplasm /cancer therapy; nursing intervention; patient care management; rural area

The goal of this research is to change the patterns of continuing cancer care by creating nurse centered provider networks that will deliver state- of-the-art cancer care in rural communities (STACCRC). These provider networks will link local physicians, hospitals, nurse centered satellite clinics and community health and social agencies. To deliver STACCRC the provider networks in the targeted rural communities will be linked with the Cancer Center at Michigan State University, the Kalamazoo Community Oncology Program, and the Kalamazoo Center for Medical Studies. These programs will deliver needs based professional education, respond with information to providers in the targeted communities, and host the training of nurses in the satellite clinics. The intervention will draw on the rural health initiative for third party reimbursement for nurses. To implement the intervention, community assessment surveys will identify patients and families needs for cancer care, providers needs for professional education and enhanced collaborative arrangements with the tertiary center, and health and social agencies needs for linkage to cancer care networks. In the four targeted communities two classes of patients will be recruited; 1) continuing care patients who have had cancer for varying periods of time; 2) inception patients recruited following diagnoses at the community hospitals or tertiary care center. For comparison, inception patients from a control community will be recruited. The intervention will; 1) credential clinic nurses, as appropriate, 2) link nurses in clinics and local physicians to one another, the tertiary system, and agencies to deliver STACCRC, 3) employ protocols and standards of care for pain, symptoms, and detection of problems and complications. Quarterly assessments of patients and families along with records of all clinic interactions will mark the changes in patterns of care, provider behaviors, agency use, and patient outcomes. Through this intervention we plan to create a model of continuing cancer care that is integrated into, sustainable by, and transferrable to other rural communities once research is concluded.

这项研究的目的是改变持续癌症的模式 通过创建以护士为中心的提供商网络来照顾，该网络将提供国家 - 农村社区的癌症护理（STACCRC）。 这些提供商 网络将链接当地医师，医院，护士以卫星为中心 诊所和社区健康与社会机构。 提供staccrc 目标农村社区中的提供商网络将与 密歇根州立大学的癌症中心，卡拉马祖社区 肿瘤学计划和卡拉马祖医学研究中心。 这些 计划将提供基于需求的专业教育，回应 向目标社区的提供者提供信息，并主持培训 卫星诊所的护士。 干预将利用 针对护士的第三方报销农村卫生计划。 到 实施干预措施，社区评估调查将确定 患者和家庭需要癌症护理，提供者需要 专业教育并加强了与 三级中心以及健康与社会机构与癌症联系的需求 护理网络。 在四个目标社区中，两类患者 将被招募； 1）持续的护理患者患有癌症 不同的时间； 2）成立患者招募以下 在社区医院或三级护理中心进行诊断。 为了 比较，将招募来自对照社区的成立患者。 干预将； 1）适当的凭证诊所护士2）链接 诊所和当地医生的护士彼此，第三级系统， 和交付STACCRC的机构，3）采用协议和标准护理 疼痛，症状以及问题和并发症的检测。 季刊 评估患者和家庭以及所有诊所的记录 互动将标志着护理模式，提供者行为的变化， 代理使用和患者结果。 通过这种干预，我们计划 创建一个持续癌症护理的模型，该模型已融入 一旦研究 得出结论。