Table 14 Organizational interventions: Nominated research ideas

Changing length of consultation

Does length of consultation influence patient satisfaction, clinician satisfaction, or patient outcomes in a clinical context?

Modeling the clinical encounter to predict patient satisfaction, clinician satisfaction, and patient outcomes. Use length of consult time as one of the predictors (examples of others: types of information shared, type of clinician, diagnosis).

In what stages of the cancer continuum does the length of consultation impact patient satisfaction, clinician satisfaction, and patient outcomes?

What is the cost effectiveness of longer consultation times?

Routine assessment interventions

Conduct a high-quality systematic review examining the impact of routine standard assessment (across cancer care continuum) on delivery of cancer care, satisfaction (patient and clinician), and clinical outcomes

What is the impact of routine standard assessment on other aspects of cancer care other than pain?

Conduct a well-designed randomized trial to evaluate the impact of routine standard assessments on delivery of care (fidelity), satisfaction of care (patient and clinician), and clinical outcomes

Compare and contrast methods used to determine and create tools to support implementation of routine standard assessments to ensure they are based on evidence and acceptable to clinicians and patients

Research examining how to implement routine standard assessments into an oncology practice setting (ambulatory or in-patient) so that it is acceptable (to management, clinicians, patients), effective, and cost effective

Chronic care model (CMM) interventions

Conduct a high-quality systematic review examining the impact of CMM on delivery of cancer control, satisfaction (patient, clinician, policy), and clinical outcomes

Research (qualitative and/or scoping review) to assess whether CCM applies well to the cancer control context. Which components of the CCM (if any) are most relevant to cancer control? Which aspect of cancer control (e.g., diagnosis) lends itself to the CCM model?

Design, evaluate, and refine tools to support each of the six CCM components using high-quality methods

Models of care/integrated care interventions 1

Research to better understand for what cancer diagnoses, cancer care options, stages in the continuum, and contexts (e.g., geography) are different models of care and integration of services most appropriate (e.g., systematic review, case study intervention)

High-quality economic analysis comparing different models of care

Research aimed to analyze (and perhaps statistically model) existing models of care to better understand the mechanisms underlying the processes and the outcomes of different approaches

Deconstruction of existing systematic reviews to better understand the mechanisms underlying different models of care

Develop methods to better measure the concepts of shared care and integrated care

Models of care/integrated care interventions 2

Development/identification, implementation, and evaluation (process, satisfaction, patient outcomes) of various models (care and service) aimed at the diagnostic stage of continuum and transition to treatment (e.g., systemic review, scoping review, or randomized trial)

As above but focused on treatment only (e.g., systematic review or scoping review)

As above but aimed at the treatment stage of the continuum and transition to survivorship or palliative care

How to best introduce new models of care or new clinical roles into the care system

Research aimed to test effectiveness, safety, satisfaction (patient, providers, and system) and cost effectiveness of new clinical roles in cancer control by non-medical clinical professionals

Shared-care implementation tactic interventions

Using high-quality randomized methods, compare and contrast different existing tactics aimed to facilitate communication between healthcare providers

Develop, test, and refine new tactics aimed at facilitating communication between different practitioners

Health information technology (HIT) interventions

What are the most effective and efficient strategies to implement an HIT solution?

For what cancer-control contexts (e.g., continuum of care, diagnosis, practice setting) is an HIT solution most appropriate?

Does embedding evidence-based recommendations into the HIT solutions improve quality of care over HIT solutions alone?

Are HIT solutions cost effective?