Efforts to disseminate evidence-based cancer control guidelines into primary care clinical settings have identified the growing need to develop new strategies that more closely integrate primary care practices and community resources. Dr. Crabtree is one ofthe few scientists in the US with the expertise to develop innovative new models and to train researchers in this growing area of research. In this K05 application, Dr. Crabtree seeks to develop new practice and community-based cancer control dissemination models and mentor the next generation of scientists focused on improving cancer control in communities. The proposal aims to foster the applicant's ability to advance the field of dissemination and implementation of cancer control evidence by: 1) identifying current approaches and untapped potentials for primary care practices to integrate practice and community-based strategies for cancer control care;2) identifying opportunities and resources in communities for making connections to primary care practices that enable integrative cancer control care strategies to develop and flourish;3) discovering innovative models of whole system care that optimize integrated care across the cancer control continuum between primary care and community organizations;and 4) establishing mentoring collaborations with new and mid-career Population Science investigators to develop and test a range of new integrative cancer control care quality interventions that incorporate practice and community contexts.
These aims will be met by engaging trainees, junior and estabUshed investigators, and research collaborations in analyzing rich, previously generated datasets and in conducting additional research. Dr. Crabtree is an established researcher who has demonstrated a sustained, high level of research and mentoring productivity. This award will allow him to have sufficient protected time to mentor new investigators and develop innovative strategies to advance practice and community-based cancer control.
Primary care clinicians have access to the majority of Americans making primary care practices an excellent platform for coordinating community-based cancer prevention and early detection. Because many cancer control resources are located outside the practice, new models that integrate primary care practices and community resources are required for optimal delivery of cancer prevention and control services.
| Lanham, Holly Jordan; Palmer, Raymond F; Leykum, Luci K et al. (2016) Trust and Reflection in Primary Care Practice Redesign. Health Serv Res 51:1489-514 |
| Harris, Mark F; Advocat, Jenny; Crabtree, Benjamin F et al. (2016) Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries. J Multidiscip Healthc 9:35-46 |
| Stange, Kurt C; Etz, Rebecca S; Gullett, Heidi et al. (2014) Metrics for assessing improvements in primary health care. Annu Rev Public Health 35:423-42 |
| Miller, William L; Crabtree, Benjamin F; Harrison, Michael I et al. (2013) Integrating mixed methods in health services and delivery system research. Health Serv Res 48:2125-33 |
| Shaw, Eric K; Ohman-Strickland, Pamela A; Piasecki, Alicja et al. (2013) Effects of facilitated team meetings and learning collaboratives on colorectal cancer screening rates in primary care practices: a cluster randomized trial. Ann Fam Med 11:220-8, S1-8 |
| Howard, Jenna; Clark, Elizabeth C; Friedman, Asia et al. (2013) Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices. J Gen Intern Med 28:107-13 |
| Shaw, Eric K; Howard, Jenna; Etz, Rebecca S et al. (2012) How team-based reflection affects quality improvement implementation: a qualitative study. Qual Manag Health Care 21:104-13 |
| Hudson, Shawna V; Miller, Suzanne M; Hemler, Jennifer et al. (2012) Cancer Survivors and the Patient-Centered Medical Home. Transl Behav Med 2:322-331 |
| Hudson, Shawna V; Ferrante, Jeanne M; Ohman-Strickland, Pamela et al. (2012) Physician recommendation and patient adherence for colorectal cancer screening. J Am Board Fam Med 25:782-91 |
| Felsen, Christina B; Piasecki, Alicja; Ferrante, Jeanne M et al. (2011) Colorectal cancer screening among primary care patients: does risk affect screening behavior? J Community Health 36:605-11 |
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