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Review
. 2016 Jan 28:6:1.
doi: 10.3389/fonc.2016.00001. eCollection 2016.

Optimizing Cancer Care Delivery through Implementation Science

Taiwo Adesoye  1 , Caprice C Greenberg  1 , Heather B Neuman  1
Affiliations
Review

Optimizing Cancer Care Delivery through Implementation Science

Taiwo Adesoye et al. Front Oncol. .

Abstract

The 2013 Institute of Medicine report investigating cancer care concluded that the cancer care delivery system is in crisis due to an increased demand for care, increasing complexity of treatment, decreasing work force, and rising costs. Engaging patients and incorporating evidence-based care into routine clinical practice are essential components of a high-quality cancer delivery system. However, a gap currently exists between the identification of beneficial research findings and the application in clinical practice. Implementation research strives to address this gap. In this review, we discuss key components of high-quality implementation research. We then apply these concepts to a current cancer care delivery challenge in women's health, specifically the implementation of a surgery decision aid for women newly diagnosed with breast cancer.

Keywords: breast cancer; cancer care delivery; decision aid; dissemination and implementation research; implementation science; knowledge-to-action.

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Figures

Figure 1
Figure 1
The pipeline of production and translation of knowledge generated from research into routine clinical practice includes a series of successive screens designed to assure that high-quality research products are delivered to end users. However, this process results in only 14% of original research being integrated into routine clinical practice and does little to assure that the research products are relevant and/or useful to end users. From Green (5) with permission.
Figure 2
Figure 2
Knowledge-to-action cycle. From Graham et al. (50) with permission. Copyright © 2006 The Alliance for Continuing Medical Education, the Society for Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.
Figure 3
Figure 3
Barriers and potential facilitators to use of a breast cancer surgery decision aid.
See this image and copyright information in PMC

References

    1. Institute of Medicine. Delivering high-quality cancer care: charting a new course for a system in crisis. In: Levit L, Balogh E, Nass S, Ganz PA, editors. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Washington, DC: National Academies Press (US) (2013). - PubMed
    1. Agency for Healthcare Research and Quality. Translating Research into Practice (TRIP)-II: Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; (2001).
    1. Nutbeam D. Improving the fit between research and practice in health promotion: overcoming structural barriers. Can J Public Health (1996) 87(Suppl 2):S18–23. - PubMed
    1. Green LW, Ottoson JM, Garcia C, Hiatt RA. Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health (2009) 30:151–74.10.1146/annurev.publhealth.031308.100049 - DOI - PubMed
    1. Green LW. Making research relevant: if it is an evidence-based practice, where’s the practice-based evidence? Fam Pract (2008) 25(Supp 1):i20–4.10.1093/fampra/cmn055 - DOI - PubMed

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