Health Care Systems
The Health Services and Economics Branch supports research on how healthcare system
factors affect access to and effective delivery of cancer control services. We also
sponsor the development of research resources that support innovative approaches to
healthcare systems research.
- The HMO Cancer Research Network, an
NCI-sponsored consortium of 14 research organizations affiliated with health
maintenance organizations, maintains a Data Resource Coordinating Center
designed to expedite the conduct of cancer-related health services, economics,
and epidemiological research in the context of traditional health maintenance
organization and network systems of healthcare delivery.
- The National Survey of Colorectal Cancer Screening Practices, conducted in 2000,
is a survey of health plans that collected information about their coverage of
colorectal cancer screening procedures. The survey also examined colorectal cancer screening
practice guidelines developed and carried out by health plans and asked about health plan
programs that are designed to promote the use of colorectal cancer screening and monitor
- The Survey
of Colorectal Cancer Screening Policies, Programs, and Systems in U.S. Health
Plans (PDF) is a nationally representative survey of health plans post-HEDIS
implementation, re-fielded by the NCI between November 2005 and April 2006. The
purpose of the new survey is to determine whether and to what extent health
plans have adopted or changed their coverage policies and use of guidelines and
tracking systems for colorectal cancer screening since the earlier survey. The
Centers for Disease Control and Prevention (CDC) is a collaborating partner in
the design and analysis of the survey.
- The NCI-sponsored Cancer Care Outcomes Research and
Surveillance Consortium (CanCORS) project, a prospective study of 10,000
patients with newly diagnosed lung or colorectal cancers, will include studies
of how health system factors influence appropriate processes and favorable
outcomes of care.
- We also support research on healthcare system factors by making the SEER-Medicare
Linked Database available to the research community. This resource includes data elements
on healthcare provider and hospital characteristics and, through linkage to other data
sources, information on the broader healthcare resources of local communities.
Opportunities support research in this area.
Our bibliography of publications in the
area of health care systems lists articles on studies that have examined the
delivery of cancer-related healthcare services by such healthcare system factors
as health insurance, type of health plan, and procedure volume.