Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, USA.
Implement Sci. 2009 Sep 26;4:63. doi: 10.1186/1748-5908-4-63.
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.
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.
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.
本文描述了美国国立癌症研究所（NCI）社区癌症中心计划（NCCCP）的试点情况及其评估，旨在评估其作用、功能以及与 NCI 研究使命的相关性。在描述过程中，我们阐述了 NCCCP 概念的演变和基本原理、参与站点的特征、其在社区环境中增强临床研究和护理质量的多方面目标，以及战略伙伴关系（包括 NCCCP 网络内外）在实现项目目标方面的作用。
NCCCP 的评估被构想为对组织创新和绩效进行混合方法多层次评估，包括绘制站点发展的演变图，以了解试点计划中的组织内和组织间变化，以及应用特定的评估指标来评估 NCCCP 试点的实施、运营和绩效。还讨论了评估试点成本作为告知计划长期可行性和可持续性的附加手段。
NCCCP 是一系列重大的系统层面组织创新，旨在增强美国各地不同社区的临床研究和护理服务提供。评估该计划在多大程度上实现其目标将取决于充分了解个体、组织和环境因素如何协调（或未能协调）以实现这些改进，以及需要付出什么代价。
