LAKE SUPERIOR RURAL CANCER CARE PROJECT (LSRCCP)

苏必利尔湖农村癌症护理项目 (LSRCCP)

• 批准号: 3200736
• 负责人: THOMAS EDWARD ELLIOTT
• 金额: $ 39.98万
• 依托单位: DULUTH CLINIC, LTD.
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-08-01 至 1997-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3200736
• 关键词: breast neoplasm /cancer diagnosis; breast neoplasms; cancer information system; cancer prevention; colorectal neoplasms; education evaluation /planning; health care personnel education; human subject; informatics; interview; longitudinal human study; lung neoplasms; medical outreach /case finding; medical records; neoplasm /cancer classification /staging; neoplasm /cancer diagnosis; neoplasm /cancer education; neoplasm /cancer therapy; patient care management; prostate neoplasms; quality of life; rural area; statistics /biometry; telecommunications; travel

The proposed Lake Superior Rural Cancer Care Project (LSRCCP) is a multidisciplinary and multiinstitutional approach to test strategies for improving cancer diagnosis and management in rural areas of northern Minnesota, northwest Wisconsin, and the western portion of Michigan's Upper Peninsula through education and communication linkages. The long-range objectives of the project are the following: 1) Enhance links between rural health care providers and regional cancer specialists, 2) increase the diffusion and adoption of state-of-the-art cancer care for patients in rural areas. Specific aims of the project will be the following: 1) Increase survival of rural cancer patients, 2) improve the stage at which cancer is diagnosed, 3) increase the proportion of properly staged cancer patients prior to primary treatment, 4) improve the quality and efficiency of cancer management including diagnosis, staging, treatment, and post-treatment surveillance, 5) enhance rural cancer patient and health care providers' participation in clinical trials, 6) study the quality of life and travel burdens of rural cancer patients, 7) improve rural health care providers' knowledge about standard cancer management, 8) determine the relative effectiveness of outreach consultations, telecommunication systems, and educational programs. The study design incorporates a group of control rural sites and a group of treatment/intervention rural sites. There will be stratification of sites which have previously received any form of intervention from the regional community cancer center. Prior to the project's educational and communication linkage interventions, there will be a baseline assessment of all sites. Interventions will include targeted training of physicians, nurses and pharmacists, consultation clinics in the rural sites, communication linkages and quality improvement efforts in the rural sites. The outcome variables will include staging of disease at diagnosis, patient survival, patterns of care analysis, use of the communication system, patient quality-of-life evaluation, and knowledge and behaviors of the health care professionals undergoing educational interventions and receiving communication linkages. Assessment of study variables will be done over four years through surveys of health care providers and patients, abstraction of medical records (inpatient and outpatient), and telephone interviews. Statistical comparisons will determine the effectiveness of each of the interventions as well as the amount of change effected by the total effort. The regional community cancer center (urban site) will consist of the referral hospitals in Duluth, Minnesota, the Duluth Clinic/Duluth Community Clinical Oncology Program, University of Minnesota-Duluth School of Medicine, and the College of St. Scholastica-School of Nursing. The rural sites will consist of 18 communities in the surrounding rural area. A final outcome of the project will be dissemination of the results in reports, published articles, presentations at national conferences, and a conference to be held at the end of the project funding. Following the conclusion of this demonstration project, it is the intention of the applicant organization and its collaborating organizations to continue the interventions shown to be effective. Funding from regional sources will be sought to continue the effective interventions at the study sites, expand the interventions to the control sites, and offer effective interventions to rural sites not included in this demonstration project.

拟议的苏必利尔湖农村癌症护理项目（LSRCCP）是 多学科和多机构的方法来测试策略 改善北部农村地区的癌症诊断和管理 明尼苏达州，威斯康星州西北部和密歇根州的西部 通过教育和沟通联系进行半岛。 远程 该项目的目标如下：1）增强之间的联系 农村医疗保健提供者和区域癌症专家，2）增加 针对患者的最新癌症护理的扩散和采用 农村地区。 该项目的具体目标将是以下内容：1）增加生存 农村癌症患者，2）改善癌症的阶段 诊断为3）增加正确上演的癌症患者的比例 在初级治疗之前，4）提高癌症的质量和效率 管理包括诊断，分期，治疗和治疗后 监视，5）增强农村癌症患者和医疗保健提供者的 参与临床试验，6）研究生活质量和旅行 农村癌症患者的负担，7）改善农村卫生保健提供者 关于标准癌症管理的知识，8）确定亲戚 外展咨询，电信系统和 教育计划。 研究设计结合了一组控制农村地点和一组 治疗/干预农村地点。 站点会分层 以前已经从区域收到任何形式的干预措施 社区癌症中心。 在该项目的教育和 沟通连锁干预措施，将对 所有站点。 干预措施将包括对医生的有针对性培训， 护士和药剂师，农村地区的咨询诊所， 沟通联系和质量改进的努力。 结果变量将包括诊断时疾病分期 生存，护理分析模式，通信系统的使用， 患者生活质量评估以及知识和行为 医疗保健专业人员正在接受教育干预措施和 接收通信链接。 研究变量的评估将是 通过调查医疗保健提供者和患者，完成了四年以上的时间， 医疗记录的抽象（住院和门诊）和电话 访谈。 统计比较将决定 每种干预措施以及由 完全努力。 区域社区癌症中心（城市地点）将包括 明尼苏达州德卢斯（Duluth）的转诊医院，德卢斯诊所/德卢斯社区 明尼苏达大学 - 德卢斯大学临床肿瘤学计划 医学和圣科拉斯蒂亚学院的护理学院。 乡村 站点将由周围农村地区的18个社区组成。 一个 该项目的最终结果将是传播结果 报告，在国家会议上发表的文章，演讲以及 会议将在项目资金结束时举行。 跟随 结论该演示项目，这是 申请人组织及其合作组织继续 表明有效的干预措施。 来自地区资源的资金将是 试图在研究地点继续进行有效的干预措施，扩展 对控制站点的干预措施，并提供有效的干预措施 到该演示项目中未包括的农村网站。