Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Aug 20;33(24):2705-11.
doi: 10.1200/JCO.2014.60.6210. Epub 2015 Jul 20.

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

Erin E Kent  1 , Sandra A Mitchell  2 , Kathleen M Castro  1 , Darren A DeWalt  1 , Arnold D Kaluzny  1 , Judith A Hautala  1 , Oren Grad  1 , Rachel M Ballard  1 , Worta J McCaskill-Stevens  1 , Barnett S Kramer  1 , Steven B Clauser  1
Affiliations

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

Erin E Kent et al. J Clin Oncol. .

Abstract

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.

PubMed Disclaimer

Conflict of interest statement

Authors' disclosures of potential conflicts of interest are found in the article online at www.jco.org. Author contributions are found at the end of this article.

Figures

Fig 1.
Fig 1.
Attributes of cancer care delivery research (CCDR) that can lead to evidence-based practice change.
See this image and copyright information in PMC

References

    1. Dafny L. Hospital industry consolidation: Still more to come? N Engl J Med. 2014;370:198–199. - PubMed
    1. Fineberg HV. Foreword: Understanding and influencing multilevel factors across the cancer care continuum. J Natl Cancer Inst Monogr. 2012;2012:1. - PMC - PubMed
    1. Spinks T, Albright HW, Feeley TW, et al. Ensuring quality cancer care: A follow-up review of the Institute of Medicine's 10 recommendations for improving the quality of cancer care in America. Cancer. 2012;118:2571–2582. - PMC - PubMed
    1. Taplin SH, Anhang Price R, Edwards HM, et al. Introduction: Understanding and influencing multilevel factors across the cancer care continuum. J Natl Cancer Inst Monogr. 2012;2012:2–10. - PMC - PubMed
    1. Ross TR, Ng D, Brown JS, et al. The HMO Research Network Virtual Data Warehouse: A public data model to support collaboration. EGEMS (Wash DC) 2014;2:1–8. - PMC - PubMed