Thematic Analysis of Organizational Characteristics in NCI Community Oncology Research Program Cancer Care Delivery Research

被引:1
作者
Weaver, Sallie J. [1 ]
Verhoeven, Dana C. [1 ]
Castro, Kathleen M. [2 ]
Adjei, Brenda A. [2 ]
Geiger, Ann M. [2 ]
机构
[1] NCI, Hlth Syst & Intervent Res Branch, Healthcare Delivery Res Program, Div Canc Control & Populat Sci, 9609 Med Ctr Dr, Rockville, MD 20850 USA
[2] NCI, Off Associate Director, Healthcare Delivery Res Program, Div Canc Control & Populat Sci, Rockville, MD USA
关键词
DISPARITIES; RESECTION; OUTCOMES; QUALITY; SYSTEM;
D O I
10.1093/jncics/pkac008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Organizational characteristics, including organizational structures and processes, are important to understanding care delivery and health outcomes. However, organizational-level constructs present measurement challenges in care delivery research. This analysis aims to understand if, when, and how organizational characteristics are examined in a National Cancer Institute (NCI) research network conducting cancer care delivery research (CCDR). The NCI Community Oncology Research Program encourages consideration of organizational variables in CCDR studies. We conducted a cross-sectional thematic analysis to identify organizational characteristics examined in this portfolio of research. Organizational characteristics targeted, related measures, and analytic approach were abstracted by 2 study investigators using a coding framework adapted from 2 existing frameworks. A total of 78.9% of eligible study protocols included organizational characteristics. Structural characteristics were the most common, collected in all 15 included protocols, 14 examined at least 1 organizational process, and 12 examined organizational-level outcomes. Most studies proposed descriptive practice-level analyses or multilevel analyses using random effects to account for clustering of patients and staff within practices. Few (n = 5) specified that organizational variables would be modeled as effects of interest (vs covaried out) or proposed analytic approaches that could more robustly examine effects of targeted organizational characteristics on primary outcomes. Inclusion of organizational variables is common in CCDR conducted through the NCI Community Oncology Research Program, NCI's national network charged with bringing cancer clinical trials to people in their communities. Nonetheless, opportunities remain to improve the use of theory to guide organizational construct selection, operationalization, measurement, and incorporation into study hypotheses and analyses.
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页数:9
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共 47 条
[41]   Development of clinically meaningful quality indicators for contemporary lung cancer care, and piloting and evaluation in a retrospective cohort; experiences of the Embedding Research (and Evidence) in Cancer Healthcare (EnRICH) Program [J].
Brown, Bea ;
Galpin, Kirsty ;
Simes, John ;
Boyer, Michael ;
Brown, Chris ;
Chin, Venessa ;
Young, Jane .
BMJ OPEN, 2024, 14 (02)
[42]   Evaluating a community academic partnership to advance equity-focused cancer genetic implementation research: a qualitative analysis of partner perspectives [J].
Naaseh, Ariana ;
Muthukrishnan, Meera ;
Temosihue, Isabel ;
Linnenbringer, Erin L. .
FRONTIERS IN PUBLIC HEALTH, 2025, 13
[43]   How vision and leadership shaped the U.S. National Cancer Institute's 50-year journey to advance the evidence base of cancer control and cancer care delivery research [J].
Kaluzny, Arnold D. ;
O'Brien, Donna M. .
HEALTH POLICY OPEN, 2020, 1
[44]   Using a community-engaged research process to plan, implement, and evaluate a cancer education program to improve knowledge and screening intentions among African American men [J].
George, Whitney ;
Miller, Malakai ;
Stewart, Elizabeth C. ;
Wilus, Derek ;
Campbell, Lanese ;
Barlow, Bishop Calvin ;
Mayo-Gamble, Tilicia L. ;
Barajas, Claudia ;
Hill, Cornelius ;
Johnson, Vincent ;
Reed, Lawrence ;
Williams, John ;
Cunningham-Erves, Jennifer .
JOURNAL OF PSYCHOSOCIAL ONCOLOGY, 2025, 43 (02) :206-229
[45]   Reflecting on partnerships established and sustained over four cycles of a federally funded cancer prevention and control research program: lessons learned for community-academic networks [J].
Adams, Swann Arp ;
Workman, Lauren ;
Sakhuja, Mayank ;
Yelton, Brooks ;
Wickersham, Karen E. ;
Fairman, Ciaran ;
Eberth, Jan ;
Heiney, Sue ;
Hebert, James R. ;
King, Jaron H. ;
Hucek, Freda Allyson ;
Schaurer, Lauren ;
Friedman, Daniela B. .
FRONTIERS IN PUBLIC HEALTH, 2025, 12
[46]   Implementing a standardised perioperative nutrition care pathway in upper gastrointestinal cancer surgery: a mixed-methods analysis of implementation using the Consolidated Framework for Implementation Research [J].
Deftereos, Irene ;
Hitch, Danielle ;
Butzkueven, Sally ;
Carter, Vanessa ;
Fetterplace, Kate ;
Fox, Kate ;
Ottaway, Aurora ;
Pierce, Kathryn ;
Steer, Belinda ;
Varghese, Jessie ;
Kiss, Nicole ;
Yeung, Justin M. .
BMC HEALTH SERVICES RESEARCH, 2022, 22 (01)
[47]   Effect of age on biochemical disease-free outcome in patients with T1-T3 prostate cancer treated with definitive radiotherapy in an equal-access health care system: A radiation oncology report of the department of defense center for prostate disease research [J].
Johnstone, PAS ;
Riffenburgh, RH ;
Moul, JW ;
Sun, L ;
Wu, HY ;
McLeod, DG ;
Kane, CJ ;
Martin, DD ;
Kusuda, L ;
Lance, R ;
Douglas, R ;
Donahue, T ;
Beat, MG ;
Foley, J ;
Chung, A ;
Soderdahl, D ;
Do, J ;
Amling, CL .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2003, 55 (04) :964-969