Improving Survivorship Care for Diverse Cancer Patients Cared for in Safety-net Settings

改善在安全网环境中接受护理的各种癌症患者的生存护理

基本信息

批准号：
10183184
负责人：
Urmimala Sarkar
金额：
$ 16.63万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10183184
关键词：
Address Adverse event Aftercare Ambulatory Monitoring California Cancer Patient Cancer Survivor Cancer Survivorship Caring Clinic Clinical Oncology Colorectal Cancer Communication Comprehension Continuity of Patient Care Development Development Plans Disease Ethnic Origin Face Failure Funding Future Goals Health Health system Healthcare Healthcare Systems Income Infrastructure Intervention Interview Laboratories Lead Leadership Learning Limited English Proficiency Low Income Population Low income Malignant Neoplasms Malignant neoplasm of prostate Medical Records Mental Health Mentors Methodology Methods Monitor Oncology Outpatients Parents Patient Care Patient-Focused Outcomes Patients Plant Roots Population Population Heterogeneity Positioning Attribute Primary Health Care Provider Public Health Qualitative Research Recurrence Research Research Personnel Resources Risk Role Safety Screening for cancer Source Specialist Structure System Telephone Interviews Testing Time Training United States United States Agency for Healthcare Research and Quality Variant Vulnerable Populations Work adverse outcome aging population base cancer care cancer health disparity cancer recurrence cancer risk cancer type care coordination care outcomes care providers career career development disparity elimination experience follow-up health care settings health disparity health information technology health literacy implementation science improved innovation malignant breast neoplasm patient oriented patient oriented research patient safety prototype psychosocial racial disparity ranpirnase research and development safety net screening survivorship systems research tool

项目摘要

Project Abstract With nearly 15 million cancer survivors in the United States (U.S.), survivorship care is a growing concern. The aging population, early cancer detection, and improved therapies have all contributed to the increase in cancer survivorship. Cancer survivors have specific health care needs related to late complications of treatment, risk for cancer recurrence, and mental health impact. There is significant variation in the extent to which cancer specialists and primary care providers manage care for cancer survivors and coordinate with each other. These factors can lead to gaps in care, which can in turn lead to adverse outcomes. Safety-net health care systems, which care for low-income and vulnerable populations, face challenges in providing optimal cancer survivorship care due to severe and ongoing resource constraints, including a shortage of subspecialty care and a lack of health information technology (HIT) infrastructure. This application proposes a 5-year career development plan in patient-oriented research for the candidate to expand her mentoring work with early career researchers focused on cancer survivorship care in safety net settings serving diverse populations. In alignment with mentoring plans, the proposal outlines three specific research aims: 1) Characterize the underlying causes of missed monitoring using root cause analysis; 2) Investigate the role of survivorship care plans for diverse patients living with colorectal, prostate, and breast cancers; and 3) Employ implementation science methods to gather stakeholder input on challenges in post-treatment/ survivorship care for diverse patients treated in safety-net settings across California and initiate development of a health information technology-enabled care coordination tool. This proposal will leverage existing federally-funded resources to enhance mentoring in patient-oriented research in cancer survivorship disparities and implementation sciences. Findings from this proposal will lay the groundwork to provide optimal care for all cancer survivors, including those at risk for health disparities and those cared for in resource-constrained safety-net health systems.

项目摘要在美国（美国）有近1500万癌症幸存者，生存护理越来越关注。这人口老龄化，早期癌症检测和改善的疗法都导致癌症的增加生存。癌症幸存者有与晚期并发症，风险有关的特定医疗保健需求癌症复发和心理健康影响。癌症的程度有显着差异专家和初级保健提供者管理癌症幸存者的护理，并彼此协调。这些因素可能导致护理差距，从而导致不利的结果。安全网医疗保健关心低收入和脆弱人群的系统面临提供最佳癌症的挑战由于严重和持续的资源限制，生存护理，包括缺乏专科护理以及缺乏健康信息技术（HIT）基础架构。该申请提出了5年的职业生涯以患者为导向研究的发展计划，以使候选人早期扩大她的指导工作职业研究人员专注于在安全网环境中为各种人群提供服务的癌症生存护理。在该提案与指导计划保持一致，概述了三个特定的研究目的：1）表征使用根本原因分析错过监测的根本原因； 2）调查生存护理的作用针对结直肠癌，前列腺和乳腺癌的多种患者的计划； 3）雇用实施科学方法来收集利益相关者的意见，以了解多样化的治疗后/生存护理中的挑战在加利福尼亚州的安全网环境中接受治疗的患者，并启动健康信息技术支持的护理协调工具。该建议将利用现有的联邦资助资源来增强癌症生存差异和实施方面的以患者为导向的研究科学。该提案的发现将为所有癌症幸存者提供最佳护理，为所有癌症幸存者提供基础包括有健康差异风险的人和在资源受限的安全网健康中受到照顾的人系统。

项目成果

期刊论文数量（34）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Clinician experience with telemedicine at a safety-net hospital network during COVID-19: a cross-sectional survey.

DOI：
10.1353/hpu.2021.0060
发表时间：
2021-05
期刊：
Journal of health care for the poor and underserved
影响因子：
1.4
作者：
Sharma AE;Khoong EC;Nijagal MA;Lyles CR;Su G;DeFries T;Sarkar U;Tuot D
通讯作者：
Tuot D

Gaps in Treatment and Surveillance: Head and Neck Cancer Care in a Safety-Net Hospital.

治疗和监测方面的差距：安全网医院的头颈癌护理。

DOI：
10.1177/2473974x19900761
发表时间：
2020
期刊：
OTO open
影响因子：
1.5
作者：
Yu,Karina;Westbrook,Marisa;Brodie,Shauna;Lisker,Sarah;Vittinghoff,Eric;Hua,Vivian;Russell,Marika;Sarkar,Urmimala
通讯作者：
Sarkar,Urmimala

Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.

DOI：
10.7326/m19-0876
发表时间：
2020-06-02
期刊：
Annals of internal medicine
影响因子：
39.2
作者：
Lyles CR;Nelson EC;Frampton S;Dykes PC;Cemballi AG;Sarkar U
通讯作者：
Sarkar U

Extent of Follow-Up on Abnormal Cancer Screening in Multiple California Public Hospital Systems: A Retrospective Review.

DOI：
10.1007/s11606-022-07657-4
发表时间：
2023-01
期刊：
JOURNAL OF GENERAL INTERNAL MEDICINE
影响因子：
5.7
作者：
Khoong, Elaine C.;Rivadeneira, Natalie A.;Pacca, Lucia;Schillinger, Dean;Lown, David;Babaria, Palav;Gupta, Neha;Pramanik, Rajiv;Tran, Helen;Whitezell, Tyler;Somsouk, Ma;Sarkar, Urmimala
通讯作者：
Sarkar, Urmimala

Mobile health strategies for blood pressure self-management in urban populations with digital barriers: systematic review and meta-analyses.

DOI：
10.1038/s41746-021-00486-5
发表时间：
2021-07-22
期刊：
NPJ digital medicine
影响因子：
15.2
作者：
Khoong EC;Olazo K;Rivadeneira NA;Thatipelli S;Barr-Walker J;Fontil V;Lyles CR;Sarkar U
通讯作者：
Sarkar U