With nearly 15 million cancer survivors in the United States (U.S.), survivorship care is a growing concern. The aging population, early cancer detection, and improved therapies have all contributed to the increase in cancer survivorship. Cancer survivors have specific health care needs related to late complications of treatment, risk for cancer recurrence, and mental health impact. There is significant variation in the extent to which cancer specialists and primary care providers manage care for cancer survivors and coordinate with each other. These factors can lead to gaps in care, which can in turn lead to adverse outcomes. Safety-net health care systems, which care for low-income and vulnerable populations, face challenges in providing optimal cancer survivorship care due to severe and ongoing resource constraints, including a shortage of subspecialty care and a lack of health information technology (HIT) infrastructure. This application proposes a 5-year career development plan in patient-oriented research for the candidate to expand her mentoring work with early career researchers focused on cancer survivorship care in safety net settings serving diverse populations. In alignment with mentoring plans, the proposal outlines three specific research aims: 1) Characterize the underlying causes of missed monitoring using root cause analysis; 2) Investigate the role of survivorship care plans for diverse patients living with colorectal, prostate, and breast cancers; and 3) Employ implementation science methods to gather stakeholder input on challenges in post-treatment/ survivorship care for diverse patients treated in safety-net settings across California and initiate development of a health information technology-enabled care coordination tool. This proposal will leverage existing federally-funded resources to enhance mentoring in patient-oriented research in cancer survivorship disparities and implementation sciences. Findings from this proposal will lay the groundwork to provide optimal care for all cancer survivors, including those at risk for health disparities and those cared for in resource-constrained safety-net health systems.

Public Health Relevance

This career development and research plan in patient-oriented research will strengthen the candidate's mentoring of early career researchers focused on cancer survivorship care in safety net settings serving diverse populations. In alignment with mentoring plans, the proposal will conduct research into gaps in survivorship care through root cause analysis, the role of survivorship care plans for diverse patients living with colorectal, prostate, and breast cancers, and the use of implementation science methods to initiate development of a health information technology-enabled care coordination tool informed by stakeholder input on challenges in post-treatment/ survivorship care.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
1K24CA212294-01
Application #
9224025
Study Section
Subcommittee I - Transistion to Independence (NCI)
Program Officer
Radaev, Sergei
Project Start
2017-07-01
Project End
2022-06-30
Budget Start
2017-07-01
Budget End
2018-06-30
Support Year
1
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of California San Francisco
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94118