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Improving rural cancer care delivery

Award Number: F32HS027286
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 07/09/2020
PERIOD OF PERFORMANCE END DATE: 05/31/2022

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Improving rural cancer care delivery - Project Summary/Abstract Although advances in cancer treatment have improved patient survival overall, cancer mortality rates in rural populations remain disproportionately higher than urban populations. Rural-urban disparities in cancer mortality rates are thought to, in part, reflect suboptimal care coordination in rural areas. Cancer patients residing in rural areas experience greater care coordination challenges including limited or lack of access to medical care, travel burdens, shortages of specialists, and delays in receiving diagnosis and post-diagnosis intervention. Delays in diagnosis and treatment initiation have been shown to adversely impact patient survival; such delays have been associated with a three-fold cancer mortality risk. However, little is known about rural cancer patients’ perception of care coordination, rural-urban differences in specific cancer care coordination processes, and the impact of rural cancer care coordination on specific care delivery outcomes. The proposed research will address these knowledge gaps and accomplish the following aims: Aim 1) To compare rural and urban cancer patients’ perception of care coordination and Aim 2) To examine the associations between rural cancer patients’ perception of care coordination and specific care delivery outcomes (time from first symptoms to diagnosis, time from diagnosis to treatment initiation). These aims will inform specific care coordination processes that disproportionately impact rural cancer patients and ways to improve rural cancer care delivery. Findings will guide the development of future interventions focused on improving rural cancer care delivery and may contribute to improved quality and value of cancer care, reduce burdens related to care delivery for rural cancer patients, and address rural cancer health disparities. The proposed research advances the Agency for Healthcare Research and Quality (AHRQ)’s focus on research and evaluation of health care delivery in a priority population residing in rural areas. The proposed fellowship is designed to enhance the applicant’s knowledge and skills in health services research under expert mentorship and a mentoring committee, and includes a larger training plan developed to prepare the applicant for the next step in her career toward becoming an independent investigator. Training and research will be conducted at one of the 70 National Cancer Institute-designated cancer centers. Upon completion of the proposed research and training, the applicant will be ideally poised to submit a complete K01 application focused on developing and testing an intervention aimed to improve cancer care coordination in rural areas. Her current and future research aims will advance AHRQ’s mission by focusing on the delivery of health care in a high priority population residing in rural areas.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$6,248 )
2023	2021	UNIVERSITY OF HAWAII	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	5/10/2023	NON-COMPETING CONTINUATION	-$6,248
														Subtotal = -$6,248

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	UNIVERSITY OF HAWAII SYSTEMS	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	7/7/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $68,562 )
2021	2021	UNIVERSITY OF HAWAII SYSTEMS	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	6/23/2021	NON-COMPETING CONTINUATION	$68,562
														Subtotal = $68,562

Issue Date FY: 2020 ( Subtotal = $65,310 )
2020	2020	UNIVERSITY OF HAWAII SYSTEMS	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	002	1	8/10/2020	NEW	$0
2020	2020	UNIVERSITY OF HAWAII SYSTEMS	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	001	1	7/9/2020	NEW	$0
2020	2020	UNIVERSITY OF HAWAII SYSTEMS	2425 CAMPUS RD SINCLAIR RM 1	HONOLULU	HI	96822	HONOLULU	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	7/9/2020	NEW	$65,310
														Subtotal = $65,310

Grand Total All Awards = $127,624

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Improving rural cancer care delivery

Award Number: F32HS027286

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 07/09/2020

PERIOD OF PERFORMANCE END DATE: 05/31/2022

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