We submit this proposal to contribute to the development of methods for defining, measuring, and reporting on the quality of cancer care. This will support the long-term goal of providing stronger, more representative empirical evidence of process-outcome linkages in the delivery of care used to diagnose, treat, monitor, and palliate cancer patients. In this context, we propose to collaborate with other CanCORS Primary Data Collection Research (PDCR) sites and the central Statistical Coordinating Center (SCC) in the study of patients with lung and colorectal cancer. Using patient self-report data soon after diagnosis and approximately one year later, as well as medical record and cancer registry data, we will describe the relationship among patient characteristics at the time of diagnosis and relevant processes and outcomes of care; and systematically evaluate the relative contributions of the patients' demographics, comorbidities, severity of the cancer stage, processes of care, and structure of care to the outcomes of care. We will focus on determinants of specific segments of the population not receiving quality cancer care as a means to begin the exploration of ways to remove barriers to quality care. The specific goals of the RAND-UCLA PDCR site application is to study variations and process-outcome links within the diverse setting of Los Angeles County using a population-based sample, and also to study the role of variations in structure of care for understanding variations in processes and outcomes of care for lung and colorectal cancer patients.
| Mehta, Anish J; Stock, Shannon; Gray, Stacy W et al. (2018) Factors contributing to disparities in mortality among patients with non-small-cell lung cancer. Cancer Med 7:5832-5842 |
| Roydhouse, Jessica K; Gutman, Roee; Keating, Nancy L et al. (2018) The Association of Proxy Care Engagement with Proxy Reports of Patient Experience and Quality of Life. Health Serv Res 53:3809-3824 |
| Litzelman, Kristin; Kent, Erin E; Rowland, Julia H (2018) Interrelationships Between Health Behaviors and Coping Strategies Among Informal Caregivers of Cancer Survivors. Health Educ Behav 45:90-100 |
| Roydhouse, Jessica K; Gutman, Roee; Keating, Nancy L et al. (2018) Proxy and patient reports of health-related quality of life in a national cancer survey. Health Qual Life Outcomes 16:6 |
| Duberstein, Paul R; Chen, Michael; Chapman, Benjamin P et al. (2018) Fatalism and educational disparities in beliefs about the curability of advanced cancer. Patient Educ Couns 101:113-118 |
| Keating, Nancy L; Huskamp, Haiden A; Kouri, Elena et al. (2018) Factors Contributing To Geographic Variation In End-Of-Life Expenditures For Cancer Patients. Health Aff (Millwood) 37:1136-1143 |
| Roydhouse, Jessica K; Gutman, Roee; Keating, Nancy L et al. (2018) Differences between Proxy and Patient Assessments of Cancer Care Experiences and Quality Ratings. Health Serv Res 53:919-943 |
| Mollica, Michelle A; Litzelman, Kristin; Rowland, Julia H et al. (2017) The role of medical/nursing skills training in caregiver confidence and burden: A CanCORS study. Cancer 123:4481-4487 |
| Kumar, Pallavi; Wright, Alexi A; Hatfield, Laura A et al. (2017) Family Perspectives on Hospice Care Experiences of Patients with Cancer. J Clin Oncol 35:432-439 |
| Gosselin, Tracy K; Beck, Susan; Abbott, David H et al. (2016) The Symptom Experience in Rectal Cancer Survivors. J Pain Symptom Manage 52:709-718 |
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