Implementation of Operative Standards in Cancer Surgery to Improve Patient Outcomes

实施癌症手术手术标准以改善患者预后

基本信息

批准号：
10448627
负责人：
Ko Un Park
金额：
$ 14.45万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-11 至 2023-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10448627
关键词：
Accreditation Address Adherence Adopted Adoption American Axilla Breast Breast Cancer Patient Cancer Center Cancer Patient Caring Communities Comprehensive Cancer Center Computerized Medical Record Data Development Development Plans Diagnosis Documentation Education Elements Engineering Environment Evaluation Funding Future Goals Guidelines Health Services Research Health system Healthcare Systems Hospitals Interview Link Malignant Neoplasms Mentors Mentorship Methods Modification Monitor Multicenter Trials Ohio Operative Surgical Procedures Outcome Patient Care Patient-Focused Outcomes Patients Physicians Play Police Policies Process Professional Self Regulation Qualitative Evaluations Quality of Care Quality of life Reading Reduce health disparities Reporting Research Research Personnel Research Project Grants Research Proposals Resources Role Sampling Scientist Standardization Structure Surgeon Surgical Oncology Techniques Testing Time Training Training Programs Universities Variant Woman base behavior change cancer care cancer diagnosis cancer health disparity cancer surgery care delivery care systems career career development cost design effective intervention effectiveness testing evidence base future implementation implementation barriers implementation design implementation determinants implementation facilitation implementation framework implementation outcomes implementation science implementation strategy implementation tool improved improved outcome individual patient innovation insight malignant breast neoplasm multidisciplinary operation pilot test prevent programs prospective scale up standardized care symposium theories therapy design uptake wasting

项目摘要

PROJECT SUMMARY The overall goal of this NCI K08 career development proposal is to facilitate Dr. Ko Un Park’s development into an independent investigator in cancer health services research focusing on implementation strategies that promote evidence-based care in surgical oncology and improve outcomes for cancer patients. Specifically, this proposal will apply insights from implementation science (IS) to the application of cancer surgery standards as set forth by the Commission on Cancer (CoC). The CoC is an accreditation organization that seeks to improve outcomes for individual patients with cancer through standardization of care delivery across 1500 hospitals providing care to some 70% of Americans with cancer. To date, the CoC has not paired its standards with implementation strategies; consequently, the standards’ implementation is often poor. The overarching goal of this project is to create stakeholder-driven strategies for adopting the use of the CoC’s new breast synoptic operative report (SOR) standard, by using tools from IS to identify and address barriers and facilitators to SOR implementation in diverse healthcare systems. To achieve this, in Aim 1 we will conduct key stakeholder interviews to identify barriers and facilitators to implementing breast SOR. In Aim 2, we will use evidence of implementation determinants to design strategies that facilitate breast SOR implementation. We will test the influence of the strategies on key implementation outcomes (e.g., feasibility, acceptability) in Aim 3. We hypothesize that we will identify both surgeon- and organization-level drivers of SOR implementation that can be leveraged to establish multi-level implementation strategies that will improve breast cancer outcomes. The planned training, proposed research project, multidisciplinary mentorship team, and exceptional research environment at The Ohio State University Comprehensive Cancer Center are ideally suited to address Dr. Park’s career goals. Her career development plan includes formal coursework in IS as well as directed readings and conferences. This education and mentored effort to execute the research proposal aid Dr. Park’s long-term career goal to become an independently funded implementation scientist-clinician to improve cancer patient outcomes by facilitating the implementation of professional self-regulation polices (i.e., CoC standards) in diverse health systems and cancer centers, and among physicians. With this training, Dr. Park will be able to successfully obtain funding for a subsequent prospective, multicenter trial testing the effectiveness of the strategies developed in the proposed project.

项目概要 NCI K08职业发展提案的总体目标是促进Ko Un Park博士发展成为癌症健康服务研究的独立调查员，重点关注以下实施策略：促进肿瘤外科循证护理并改善癌症患者的治疗效果。该提案将把科学实施 (IS) 的见解应用于癌症手术标准的应用由癌症委员会 (CoC) 制定 CoC 是一个致力于改进的认证组织。通过 1500 家医院的标准化护理服务为个体癌症患者提供治疗结果迄今为止，CoC 尚未将其标准与约 70% 的癌症患者相匹配。实施策略；因此，标准的总体目标往往实施得很差。该项目旨在制定利益相关者驱动的战略，以采用 CoC 的新乳房概要操作报告 (SOR) 标准，通过使用 IS 的工具来识别和解决 SOR 的障碍和促进因素为了实现这一目标，我们将在目标 1 中对关键利益相关者进行指导。访谈以确定实施乳房 SOR 的障碍和促进因素在目标 2 中，我们将使用以下证据。设计促进乳房 SOR 实施的策略的实施决定因素。战略对目标 3 中关键实施结果（例如可行性、可接受性）的影响。我们我们将确定 SOR 实施的外科医生和组织层面的驱动因素利用建立多层次的实施策略来改善乳腺癌的结果。计划的培训、拟议的研究项目、多学科指导团队和杰出的研究俄亥俄州立大学综合癌症中心的环境非常适合解决 Park 博士的问题她的职业发展计划包括 IS 的正式课程以及定向阅读和学习。这种教育和指导执行研究计划的努力有助于帕克博士的长期发展。职业目标是成为一名独立资助的实施科学家兼临床医生，以改善癌症患者的病情通过促进在不同领域实施专业自律政策（即 CoC 标准）来取得成果通过这次培训，Park 博士将能够成功地与卫生系统和癌症中心以及医生合作。获得资金用于随后的前瞻性多中心试验，测试所制定策略的有效性在拟议的项目中。