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OPTIMISE: A Shared Care Approach for Improving Comprehensive Care of Cancer Patients with Comorbidities in A Safety-Net System

Organization BAYLOR COLLEGE OF MEDICINELocation HOUSTON, UNITED STATESPosted 1 Jun 2021Deadline 30 Jun 2025 ⚠️
NIHUS FederalResearch GrantFY2025Accident and Emergency departmentActive Follow-upAddressAdherenceAdoptionAdverse Late EffectsAffectAfter CareAfter-TreatmentAftercareAreaAttitudeBaseline SurveysBreast Cancer PatientBreast Tumor PatientCancer PatientCancer SurvivorCancer SurvivorshipCancer TreatmentCancersCaringChronicChronic DiseaseChronic IllnessClinic VisitsClinics and HospitalsClinics or HospitalsCollaborationsCommunicationComplexComprehensive Health CareContinuity of CareContinuity of Patient CareContinuum of CareDataDiagnosisDisease ManagementDisease-Free SurvivalDisorder ManagementEmergency DepartmentEmergency roomEvent-Free SurvivalFaceFeedbackFutureGI cancersGI malignanciesGI tract cancersGastrointestinal CancerGastrointestinal Tract CancerGoalsGuidelinesHealthHealth CareHealth Care SystemsHealth Care UtilizationHematologic CancerHematologic MalignanciesHematologic NeoplasmsHematological MalignanciesHematological NeoplasmsHematological TumorHematopoietic CancerIndividualInterruptionInterviewKnowledgeLate EffectsLife Style ModificationLow incomeLow-resource areaLow-resource communityLow-resource environmentLow-resource regionLow-resource settingMalignant Gastrointestinal NeoplasmMalignant Hematologic NeoplasmMalignant Neoplasm TherapyMalignant Neoplasm TreatmentMalignant NeoplasmsMalignant TumorMalignant neoplasm of gastrointestinal tractMedicalMethodsModelingMonitoring for RecurrenceNewly DiagnosedNursesOncologic NursingOncological NursingOncologistOncologyOncology CancerOncology NurseOutcomeOutcome AssessmentPathway interactionsPatientsPreventative carePreventive carePrimary CareProcessProtocolProtocols documentationProviderPsychosocial Assessment and CarePublic HospitalsQOLQualitative EvaluationsQuality of lifeRE-AIMRandomizedRandomized, Controlled TrialsReach, Effectiveness, Adoption, Implementation, and MaintenanceRecurrenceRecurrentReportingResearchResource-constrained areaResource-constrained communityResource-constrained environmentResource-constrained regionResource-constrained settingResource-limited areaResource-limited communityResource-limited environmentResource-limited regionResource-limited settingResource-poor areaResource-poor communityResource-poor environmentResource-poor regionResource-poor settingRiskSecond CancerSecond Primary CancersSecondary MalignancySecondary Malignant NeoplasmSelf ManagementSpecialtyStructureSupportive TherapySupportive careSurveillance ModelingSystemTestingThinkingTimeTranslationsUninsuredVisitactive followupactive methodactive techniqueactive treatmentanti-cancer therapybreast cancer diagnosiscancer carecancer diagnosiscancer riskcancer therapycancer-directed therapycare coordinationcare servicescare systemschronic care modelchronic disorderclinical careclinical infrastructureclinical practiceclinician communicationco-morbidco-morbiditycollaborative carecommunicate to clinicianscommunicate to providerscommunicate with clinicianscommunicate with doctorscommunicate with providerscomorbiditycomprehensive carecoordinating caredoctor communicationethnic minorityexperiencefacesfacialfollow upfollow-upfollowed upfollowupgastrointestinal malignancieshealth care service usehealth care service utilizationimplementation outcomesimprovedindividuals with breast cancerlifestyle modificationmalignancymedical specialtiesmedically under servedmedically underservedmultimorbiditymultiple chronic conditionsneoplasm/cancernovelnurseoncology nursingpathwaypatient subclasspatient subclusterpatient subgroupspatient subpopulationspatient subsetspatient subtypespatients with breast cancerperson with breast cancerpost treatmentpreventpreventingprimary care providerprimary outcomeprovider communicationproviders from primary careproviders of primary carepsychosocial assessmentpsychosocial carepsychosocial studiespsychosocial supportracial minorityrandomisationrandomizationrandomized control trialrandomly assignedreach, efficacy, adoption, implementation, and maintenancerisk stratificationsafety netscale upsecondary cancersecondary outcomestratify risksurvivorshipthoughtstranslationtrenduptake

Applications closed.

Description preview

PROJECT SUMMARY. Cancer survivors have unique healthcare needs including risk for serious late effects,
ongoing surveillance, lifestyle modifications to reduce second cancer risk, and psychosocial support. Nearly

70% are considered “complex cancer survivors” because they have at least one comorbid chronic condition in

addition to cancer.…

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