scholarly journals Evolution of Cancer Care Delivery Research in the NCI Community Oncology Research Program

2019 ◽  
Vol 112 (6) ◽  
pp. 557-561 ◽  
Author(s):  
Ann M Geiger ◽  
Ann M O’Mara ◽  
Worta J McCaskill-Stevens ◽  
Brenda Adjei ◽  
Priyanga Tuovenin ◽  
...  
Keyword(s):  
Research Program ◽  
National Cancer Institute ◽  
Cancer Care ◽  
Care Delivery ◽  
Well Being ◽  
Practice Change ◽  
Evidence Based ◽  
Oncology Research ◽  
Community Oncology ◽  
Robust Portfolio

Abstract Research seeking to improve patient engagement with decision-making, use of evidence-based guidelines, and coordination of multi-specialty care has made important contributions to the decades-long effort to improve cancer care. The National Cancer Institute expanded support for these efforts by including cancer care delivery research in the 2014 formation of the National Cancer Institute Community Oncology Research Program (NCORP). Cancer care delivery research is a multi-disciplinary effort to generate evidence-based practice change that improves clinical outcomes and patient well-being. NCORP scientists and community-based clinicians and organizations rapidly embraced the addition of this type of research into the network, resulting in a robust portfolio of observational studies and intervention studies within the first 5 years of funding. This commentary describes the initial considerations in conducting this type of research in a network previously focused on cancer prevention, control, and treatment studies; characterizes the protocols developed to date; and outlines future directions for cancer care delivery research in the second round of NCORP funding.

scholarly journals Cancer Care Delivery Research: Building the Evidence Base to Support Practice Change in Community Oncology

2015 ◽  
Vol 33 (24) ◽  
pp. 2705-2711 ◽  
Author(s):  
Erin E. Kent ◽  
Sandra A. Mitchell ◽  
Kathleen M. Castro ◽  
Darren A. DeWalt ◽  
Arnold D. Kaluzny ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Care Delivery ◽  
Well Being ◽  
Evidence Base ◽  
Care Quality ◽  
Practice Change ◽  
Health Technologies ◽  
Oncology Research ◽  
Community Oncology

Understanding how health care system structures, processes, and available resources facilitate and/or hinder the delivery of quality cancer care is imperative, especially given the rapidly changing health care landscape. The emerging field of cancer care delivery research (CCDR) focuses on how organizational structures and processes, care delivery models, financing and reimbursement, health technologies, and health care provider and patient knowledge, attitudes, and behaviors influence cancer care quality, cost, and access and ultimately the health outcomes and well-being of patients and survivors. In this article, we describe attributes of CCDR, present examples of studies that illustrate those attributes, and discuss the potential impact of CCDR in addressing disparities in care. We conclude by emphasizing the need for collaborative research that links academic and community-based settings and serves simultaneously to accelerate the translation of CCDR results into practice. The National Cancer Institute recently launched its Community Oncology Research Program, which includes a focus on this area of research.

Reforming the Community Research Program: From Community Clinical Oncology Program to the National Cancer Institute Community Oncology Research Program

2014 ◽  
pp. e116-e119 ◽  
Author(s):  
Robin T. Zon
Keyword(s):  
Clinical Oncology ◽  
Research Program ◽  
Community Involvement ◽  
National Cancer Institute ◽  
Care Delivery ◽  
Community Research ◽  
Community Clinical Oncology Program ◽  
Oncology Research ◽  
Community Oncology ◽  
Control Research

Community research has been an integral and influential component of the National Research Program since the late 1970s. Institutionalization of community research in the Community Clinical Oncology Program (CCOP) has resulted in successful collaborations, meaningful accrual, achievement of quality standards, and translation of research into clinical practice. Although the national clinical trial system is undergoing modernization and improvement, the success of the CCOP and minority-based CCOP in cancer treatment, prevention, and control research is being extended to include cancer care delivery research in the newly created National Cancer Institute (NCI) Community Oncology Research Program. This article briefly presents a historic perspective of community involvement in federally sponsored clinical trials and introduces the continued involvement in the newly created NCI program.

The NCI Community Oncology Research Program: What Every Clinician Needs to Know

2013 ◽  
pp. e84-e89 ◽  
Author(s):  
Worta McCaskill-Stevens ◽  
Alan P. Lyss ◽  
Marge Good ◽  
Thomas Marsland ◽  
Rogerio Lilenbaum
Keyword(s):  
Clinical Research ◽  
Clinical Oncology ◽  
Research Program ◽  
Cancer Care ◽  
Care Delivery ◽  
Community Setting ◽  
Cancer Control ◽  
Community Clinical Oncology Program ◽  
Oncology Research ◽  
Community Oncology

Research in the community setting is essential for the translation of advances in cancer research into practice and improving cancer care for all populations. The National Cancer Institute is proposing a new community-based program, NCI Community Oncology Research Program (NCORP), which is the alignment of two existing programs, the Community Clinical Oncology Program, Minority-Based Community Clinical Oncology Program, and their Research Bases, and the National Cancer Institute's Community Cancer Centers Program. NCROP will support cancer control, prevention, treatment, and screening clinical trials and expand its research scope to include cancer care delivery research. Cancer disparities research will be integrated into studies across the continuum of NCORP research. Input from current NCI-funded community investigators provides critical insight into the challenges faced by oncology practices within various organizational structures. Furthermore, these investigators identify the resources, both administrative and clinical, that will be required in the community setting to support cancer care delivery research and to meet the requirements for a new generation of clinical research. The American Society for Clinical Oncology (ASCO) has initiated a forum to focus on the conduct of clinical research in the community setting. Resources are being developed to help practices in managing cancer care in community settings.

scholarly journals De-Implementing Ineffective and Low-value Clinical Practices: Research and Practice Opportunities in Community Oncology Settings

2021 ◽  
Author(s):  
Wynne E Norton ◽  
Worta McCaskill-Stevens ◽  
David A Chambers ◽  
Philip J Stella ◽  
Otis W Brawley ◽  
...  
Keyword(s):  
Cancer Care ◽  
Care Delivery ◽  
Implementation Strategies ◽  
Clinical Practices ◽  
National Network ◽  
Oncology Research ◽  
Community Oncology ◽  
Practice Opportunities ◽  
Oncology Care ◽  
Study Designs

Abstract Patients, practitioners, and policymakers are increasingly concerned about the delivery of ineffective or low-value clinical practices in cancer care settings. Research is needed on how to effectively de-implement these types of practices from cancer care. In this commentary, we spotlight the National Cancer Institute (NCI) Community Oncology Research Program (NCORP), a national network of community oncology practices, and elaborate on how it is an ideal infrastructure for conducting rigorous, real-world research on de-implementation. We describe key, multi-level issues that affect de-implementation and also serve as a guidepost for developing strategies to drive de-implementation. We describe optimal study designs for testing de-implementation strategies and elaborate on how and why the NCORP network is uniquely positioned to conduct rigorous and impactful de-implementation trials. The number and diversity of affiliated community oncology care sites, coupled with the overall objective of improving cancer care delivery, make the NCORP an opportune infrastructure for advancing de-implementation research while simultaneously improving the care of millions of cancer patients nationwide.

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