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Cancer prevention, risk reduction, and control: opportunities for the next decade of health care delivery research.
O'Malley, Denalee M; Alfano, Catherine M; Doose, Michelle; Kinney, Anita Y; Lee, Simon J Craddock; Nekhlyudov, Larissa; Duberstein, Paul; Hudson, Shawna V.
  • O'Malley DM; Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
  • Alfano CM; Rutgers Cancer Prevention and Control, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
  • Doose M; Northwell Health Cancer Institute, New Hyde Park, NY, USA.
  • Kinney AY; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
  • Lee SJC; Health Systems and Interventions Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
  • Nekhlyudov L; Department of Epidemiology and Biostatistics, Rutgers School of Public Health, Piscataway, NJ, USA.
  • Duberstein P; Harold C. Simmons Comprehensive Cancer Center, Department of Population and Data Sciences, UT-Southwestern, Dallas, TX, USA.
  • Hudson SV; Harvard Medical School, Brigham & Womens' Primary Care Medical Associates, Boston, MA, USA.
Transl Behav Med ; 11(11): 1989-1997, 2021 11 30.
Article in English | MEDLINE | ID: covidwho-1546028
ABSTRACT
In this commentary, we discuss opportunities to optimize cancer care delivery in the next decade building from evidence and advancements in the conceptualization and implementation of multi-level translational behavioral interventions. We summarize critical issues and discoveries describing new directions for translational behavioral research in the coming decade based on the promise of the accelerated application of this evidence within learning health systems. To illustrate these advances, we discuss cancer prevention, risk reduction (particularly precision prevention and early detection), and cancer treatment and survivorship (particularly risk- and need-stratified comprehensive care) and propose opportunities to equitably improve outcomes while addressing clinician shortages and cross-system coordination. We also discuss the impacts of COVID-19 and potential advances of scientific knowledge in the context of existing evidence, the need for adaptation, and potential areas of innovation to meet the needs of converging crises (e.g., fragmented care, workforce shortages, ongoing pandemic) in cancer health care delivery. Finally, we discuss new areas for exploration by applying key lessons gleaned from implementation efforts guided by advances in behavioral health.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Transl Behav Med Year: 2021 Document Type: Article Affiliation country: Tbm

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Transl Behav Med Year: 2021 Document Type: Article Affiliation country: Tbm