UPMC McKeesport/ROCOG Radiation Oncology Minorities Out*

UPMC McKeesport/ROCOG 放射肿瘤学少数派出局*

基本信息

批准号：
7493867
负责人：
Dwight E Heron
金额：
$ 11.08万
依托单位：
UPMC MC KEESPORT
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-26 至 2009-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7493867
关键词：
Address African American Age American Cancer Society Appendix Area Award Benchmarking Bioethics Blue Cross Blue Shield Breast Buffaloes Cancer Center Cancer Hospital Cancer Patient Caring Cavia Censuses Cervix Uteri Chairperson Clinical Clinical Oncology Clinical Research Clinical Treatment Clinical Trials Collaborations Colorectal Colorectal Cancer Communities Community Hospitals Community Outreach Complex Contracts Counseling County Daily Data Databases Development Disadvantaged Disease Dopaflex Economics Education Education and Outreach Eligibility Determination Ensure Evaluation Research Family Feedback Female Funding Goals Grant Head and Neck Cancer Health Health Services Health Services Research Healthcare Heart Hispanics Homelessness Hospitals Improve Access Incidence Individual Inferior Institutes Institution Intervention Joint Commission on Accreditation of Healthcare Organizations Laws Lead Literature Low income Lung Malignant Neoplasms Malignant neoplasm of prostate Marketing Measurement Medical Mentors Minority Minority Groups Modeling Monitor NCI-Designated Cancer Center National Cancer Institute National Surgical Adjuvant Breast and Bowel Project Numbers Nursing Protocols Online Systems Ontology Operative Surgical Procedures Outcome Outcomes Research Participant Patient Education Patient Recruitments Patients Pattern Peer Review Pennsylvania Physicians Population Populations at Risk Practice Guidelines Principal Investigator Process Professional Education Prostate Protocol Compliance Protocols documentation Provider Public Health Schools Quality of Care Race Radiation Radiation Oncology Radiation Therapy Oncology Group Radiation therapy Radiology Specialty Range Rate Registries Reporting Research Research Infrastructure Research Project Grants Residencies Resources Risk Factors Roswell Park Cancer Institute Sample Size Screening for cancer Series Services Socioeconomic Status Specific qualifier value Staging Standards of Weights and Measures Survival Rate System Testing Time Travel Underrepresented Minority United States National Institutes of Health Universities University Hospitals University of Pittsburgh Cancer Institute Walkers Washington Work base bone burden of illness cancer care cancer health disparity cancer site community intervention cost ethnic minority population experience health disparity health training improved innovation interest low socioeconomic status male malignant breast neoplasm medical schools minority health mortality novel oncology outreach patient registry peer professor programs research study rural area safety net socioeconomics statistics treatment center tumor willingness

项目摘要

A number of barriers, both real and perceived, tend to hinder the recruitment of patients, and by extension, minorities and poor people into clinical oncology trials at community centers. In order to initiate the opportunity to participate in clinical research at the community level, we have developed a collaborative regional network, The Radiation Oncology Community Outreach Group (ROCOG), based at UPMC McKeesport Hospital, that will build the infrastructure for clinical research at five community hospitals over the term of the grant, and which will deploy infrastructure resources for widespread, clinically and demographically disparate populations. Project goals include increasing clinical compliance, protocol recruitment and protocol retention within these populations, operationalizing a collaborative model of community- based research, testing the efficacy of patient identification, engagement and outreach models and using a comprehensive outcomes measurement system to insure care quality and monitor treatment disparities. This proposal presents a number of other unique approaches and strengths. Several potential academic "mentors" have provided their endorsement, including the University of Pittsburgh Cancer Institute, Allegheny General Hospital Cancer Institute, Roswell Park Cancer Institute and the Mallincrodt Institute of Radiology at Washington University at St. Louis. The proposal also has the support of several well-recognized minority health initiatives within western Pennsylvania, to assist us in outreach and disparities education. Our outreach strategies are tailored to urban or to rural areas, and include use of a new "fast track" patient identification function within Tumor Registry, Patient Navigator system, Protocol Nurse and contracted community outreach agencies. The proposed clinical pilots concerning breast conservation, colorectal and bone mets reflect locally-specific high burden of disease within minority populations. An integrated outcomes monitoring system using Tumor Registry & Record & Verify data is also proposed as a platform for a comprehensive CQI program. Finally, comprehensive patient and professional education will be provided through a combination of peer outreach, WEB-based }rogramming and through a mobile application of the NCI Telesynergy system.

许多真实的和感知的障碍往往会阻碍招募患者，进而阻碍少数群体的招募和穷人参与社区中心的临床肿瘤学试验。为了发起参与的机会在社区层面的临床研究中，我们开发了一个协作区域网络，放射肿瘤学社区外展小组 (ROCOG) 位于 UPMC McKeesport 医院，将为临床建立基础设施在赠款期限内对五家社区医院进行研究，并将为以下项目部署基础设施资源：广泛的、临床上和人口统计学上不同的人群。项目目标包括提高临床依从性，在这些人群中招募和保留协议，实施社区协作模式基于研究，测试患者识别、参与和推广模型的有效性，并使用综合的结果测量系统，以确保护理质量并监测治疗差异。该提案提出了许多其他独特的方法和优势。几位潜在的学术“导师” 提供了他们的认可，包括匹兹堡大学癌症研究所、阿勒格尼癌症综合医院圣路易斯华盛顿大学罗斯威尔帕克癌症研究所和马林克罗特放射学研究所。该提案还得到了宾夕法尼亚州西部几个公认的少数族裔健康倡议的支持，以协助我们进行外展和差异教育。我们的外展策略针对城市或农村地区量身定制，包括在肿瘤登记处、患者导航系统、方案护士和患者登记系统中使用新的“快速通道”患者识别功能签约社区外展机构。拟议的有关乳房保护、结直肠和骨的临床试点代谢相关疾病反映了少数民族人口中当地特有的高疾病负担。综合结果监测系统还建议使用肿瘤登记、记录和验证数据作为综合 CQI 计划的平台。最后，将通过同行外展、基于网络的相结合的方式提供全面的患者和专业教育 }编程并通过 NCI Telesynergy 系统的移动应用程序。