KanSurvive: Testing a model for improving cancer survivorship care in rural practice

KanSurvive：测试在农村实践中改善癌症生存护理的模型

基本信息

批准号：
10001480
负责人：
K ALLEN GREINER
金额：
$ 44.54万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-23 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10001480
关键词：
Acute Address Adoption Awareness Breast Breast Cancer survivor Cancer Survivor Cancer Survivorship Caring Case Based Learning Chronic Clinic Colorectal Colorectal Cancer Community Healthcare Community of Practice Development Diagnosis Documentation Dose Educational Curriculum Electronic Health Record Evaluation Evidence based practice Focus Groups Guidelines Health Services Infrastructure Intervention Kansas Knowledge Lead Left Longevity Lung Malignant Neoplasms Malignant neoplasm of lung Malignant neoplasm of prostate Measures Mentors Modeling Observational Study Oncology Participant Persons Phase Primary Health Care Process Provider Psychological reinforcement Quality of Care Randomized Reporting Research Personnel Resources Risk Rural Ships Specialist Structure Survivors System Testing Time Training Update Work acute care base cancer care cancer risk cancer therapy care outcomes care providers case-based effectiveness evaluation effectiveness testing end of life evidence base evidence based guidelines follow-up implementation research implementation science improved innovation interest malignant breast neoplasm model development novel peer prevent programs prostate cancer survivors recruit survivorship

项目摘要

ABSTRACT Cancer survivors in the acute and extended phases of care would benefit from improvements in the quality and coordination of primary and cancer care they receive. Cancer researchers have left the management of rural cancer survivors largely unstudied. While evidence-based practice guidelines exist, implementation in rural primary care practices has fallen short. Studies have yet to fully identify the barriers preventing successful implementation of guidelines in these settings. Opportunities exist to improve the understanding of both the reasons why cancer survivorship care is sub optimal in rural primary care as well as to test mechanisms for helping practices implement systems that assure all cancer survivors can be identified and are receiving guideline concordant care. This study sets out to evaluate current practices in managing rural cancer survivors and test a KanSurvive Project ECHO intervention to transform practices for delivery of evidence-based survivorship care. The primary aims are to 1) describe gaps in care, infrastructure needs and processes of care for acute and chronic cancer survivorship in rural primary care clinics focusing on rural breast, colorectal, lung, and prostate cancer survivors while finalizing the KanSurvive Project ECHO intervention; 2) evaluate the effectiveness of practice facilitation integrated with telementoring program for enhancing adoption of evidence- based practice guidelines for breast, colorectal, lung, and prostate survivors; and 3) describe key facilitators and barriers to implementation of KanSurvive Project ECHO and evidence of related EHR documentation change in these practices. This novel project will provide a model for use of implementation science and the development of a “community of practices” working together to improve rural cancer survivorship care from diagnosis to the end-of-life.

抽象的急性和扩展阶段的癌症冲浪者将受益于质量和他们接受的初级和癌症护理的协调。癌症研究人员离开了常规的管理癌症幸存者在很大程度上没有研究。尽管存在基于证据的实践指南，但定期实施初级保健实践缺乏。研究尚未充分确定阻止成功的障碍在这些设置中实施准则。有机会提高对两者的理解癌症生存护理在农村初级保健以及测试机制中最佳的原因帮助实施实施系统的系统，以假定所有癌症生存可以被识别并正在接受指南协和护理。这项研究旨在评估当前管理农村癌症幸存者的做法并测试Kansurvive项目回声干预以改变提供基于证据的实践生存护理。主要目的是1）描述护理中的差距，基础设施需求和过程护理急性和慢性癌症在农村初级保健诊所的生存，重点是乳房，结直肠癌，肺部和前列腺癌的生存，同时最终确定Kansurvive项目回声干预； 2）评估实践设施与远程设备计划的有效性，以增强证据的采用 - 基于乳房，结直肠，肺和前列腺生存的实践指南； 3）描述关键促进者以及实施Kansurvive项目Echo的障碍和相关EHR文档的证据改变这些做法。这个新颖的项目将为实施科学和开发“实践社区”，共同改善农村癌症生存护理诊断到终止。