A Natural Experiment of Providing Cancer Care Closer to Home for Patients With Multiple Myeloma
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 3
- 试验地点
- 2
- 主要终点
- Proportion of eligible participants who successfully transfer to the provider at a satellite location
研究概览
简要总结
There is very limited data on the utilization of National Cancer Institute Comprehensive Cancer Center (NCI-CCC) satellite sites in general. Of what is available, most is in regards to providing chemotherapy at facilities closer to patients' home. These "satellite chemotherapy infusion centers", typically community-based treatment locations at community hospitals/facilities, freestanding clinics, or mobile units, are reported to be well liked by patients who utilize their services and reduce their travel times and expenses. In these studies patients still remained in the care of their current provider and site and are required to travel to the site for clinical visits and other appointments. It is currently unknown if patients are willing to transfer their care to a different provider to alleviate travel burden. In addition, although increased travel burden has been lower quality of life in cross-sectional studies, no data exists suggesting that these reducing travel burden can improve these outcomes intra-patient, to the knowledge of the investigators.
The patient roles of the multiple myeloma clinical providers at the Siteman primary location have grown in recent years. The providers have determined a need to refer some patients to the satellite sites to relieve congestion at the site while also hopefully improving the clinical experience for those patients. This study is a natural experiment of this process.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Proportion of eligible participants who successfully transfer to the provider at a satellite location
时间窗: At time of transfer decision (day 1)
次要结局
- Treatment burden of participants as measured by the Modified Treatment Burden Questionnaire(Through completion of follow-up (estimated to be 6 months))
- Participant rationales for opting to transfer to a satellite site or maintain care at their usual site.(Through completion of follow-up (estimated to be 6 months))
- Types of candidacy that providers use for transfer of care to satellite sites(At time of transfer decision (day 1))
- Satisfaction of with participant-provider interactions as measured by the Questionnaire on the Quality of Physician-Patient Interaction(Through completion of follow-up (estimated to be 6 months))
- Financial toxicity of participants as measured by the Comprehensive Score for Financial Toxicity(Through completion of follow-up (estimated to be 6 months))