Background:

The NCI Community Cancer Centers Pilot Program (NCCCP), http://ncccp.cancer.gov, is a three-year pilot program to test the concept of a national network of community cancer centers to expand cancer research and deliver the latest, most advanced cancer care to a greater number of Americans in the communities in which they live. The pilot program is designed to encourage the collaboration of private-practice medical, surgical, and radiation oncologists, with close links to NCI research and to the network of 63 NCI-designated Cancer Centers principally based at large research universities. NCI contracted with RTI International (www.rti.org) to conduct a comprehensive evaluation of NCCCP pilot program using multiple methodologies, including a survey of cancer patients receiving care at the pilot sites.

Objectives:

The goal of the patient survey is to gain an understanding of the clinical experiences of adult patients who receive services at the NCCCP pilot sites and to assess if and how their experience changes over the pilot period. Specifically, the survey instrument seeks to collect data about patients' information needs and awareness of the NCCCP program; clinical trials experience; access to health care; perspectives on patient-provider communication; and experiences with patient navigation, self-management, medical decision making, and survivorship; as well as their satisfaction with care and quality of life.

Eligibility:

Each of the ten participating Centers will create a de-identified electronic file of all patients who meet the inclusion criteria: 1) patient treated for at least3 months at the Cancer Center since July 1, 2007; 2) patient is age 21 years or older at time of diagnosis; and 3) patient was diagnosed with cancer based on specific ICD and/or CPT codes. Centers will create this file using their cancer registry and assign each individual a unique identification (ID) numbers.

Design:

Each file containing the universe of eligible patients will be sent to RTI, from which 475 patients from each Center's list will be randomly selected. RTI will send a list back to each Center indicating which 475 patient IDs were selected for inclusion in the survey. The Center staff will match each selected patient back to their master list using the Study ID number to identify patients included in the survey. RTI will deliver 475 pre-paid patient survey packets to each Center. The packets will include all required items except a Patient Notification Letter, which is a cover letter introducing the study and provides instructions on how to complete the survey. To protect patient privacy, Center staff will be responsible for generating the mailing labels and personalized Patient Notification Letter, and mailing the packets.