Improving clinical research and cancer care delivery in community settings: evaluating the NCI community cancer centers program
Open accessAbstract
BACKGROUND: In this article, we describe the National Cancer Institute (NCI) Community Cancer Centers Program (NCCCP) pilot and the evaluation designed to assess its role, function, and relevance to the NCI's research mission. In doing so, we describe the evolution of and rationale for the NCCCP concept, participating sites' characteristics, its multi-faceted aims to enhance clinical research and quality of care in community settings, and the role of strategic partnerships, both within and outside of the NCCCP network, in achieving program objectives. DISCUSSION: The evaluation of the NCCCP is conceptualized as a mixed method multi-layered assessment of organizational innovation and performance which includes mapping the evolution of site development as a means of understanding the inter- and intra-organizational change in the pilot, and the application of specific evaluation metrics for assessing the implementation, operations, and performance of the NCCCP pilot. The assessment of the cost of the pilot as an additional means of informing the longer-term feasibility and sustainability of the program is also discussed. SUMMARY: The NCCCP is a major systems-level set of organizational innovations to enhance clinical research and care delivery in diverse communities across the United States. Assessment of the extent to which the program achieves its aims will depend on a full understanding of how individual, organizational, and environmental factors align (or fail to align) to achieve these improvements, and at what cost.
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- Authors
- Clauser, S. B., Johnson, M. R., O'Brien, D. M., Beveridge, J. M., Fennell, M. L., & Kaluzny, A. D.
- Affiliations
- National Institutes of Health (US)
- Office of the Director (US)
- Science Applications International Corporation (United States) (US)
- Brown University (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Clauser, Steven B
- Venue
- Implementation Science
- Published
- 2009-09-26
- Volume
- 4
- Issue
- 1
- Pages
- 63-63
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC2764567
- OpenAlex
- W2099811926
- Cited by
- 49
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 6 · 2019: 1 · 2017: 5 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 6.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion, cc-by)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services (HHSN261200800001E)
- National Institutes of Health (Contract No. HHSN261200800001E., #HHSN261200800001E, HHSN261200800001C)
- National Cancer Institute (No. HHSN261200800001E, Contract No.,HHSN261200800001E, HHSN261200800001E))
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- community cancer centers, cancer care delivery, clinical cancer research, organizational innovation, organizational change, strategic partnership, program evaluation, program sustainability, National Cancer Institute, community-based care
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