Capacity
Community Linkages
With 14 research centers based in integrated health care delivery organizations
nationwide, the CRN is heavily influenced by its proximity to and familiarity with the
day-to-day provision of cancer care. All CRN sites are longstanding organizations with a
stable presence in their communities. They also have research centers and investigators
who understand their enrollee populations, the organization and delivery of care, and the
associated data systems.
Population Coverage
CRN member organizations have a combined population of nearly 11 million enrollees. The
age and sex distributions of enrollees collectively reflect those of the general US
population, although individual plans vary widely. The CRN includes population centers
with a high percentage of African American enrollees (Henry Ford Health System, Harvard
Pilgrim Health Care, and Kaiser Permanente Georgia); Asian Americans (Kaiser Permanente
Hawaii, Kaiser Permanente Northern California, and Kaiser Permanente Southern California);
and Hispanics (Lovelace Health System, Kaiser Permanente Southern California, Kaiser
Permanente Northern California, and Kaiser Permanente Colorado). Racial and ethnic
diversity is an important strength of the CRN, which permits studies emphasizing
effectiveness research focused on those subpopulations.
Quick Facts
- Between 1999 and 2007, CRN researchers published more than 100 peer-reviewed journal
articles.
- CRN partnerships and affiliations include the HMO Research Network, many NCI-designated
Cancer Centers, and several federal agencies, including NCI, the National Heart, Lung, and Blood Institute
(NHLBI), the National Human Genome Research
Institute (NHGRI), and the Agency for Healthcare
Research and Quality (AHRQ).
- The CRN has significantly leveraged its core funding since the original grant to
develop and receive 12 infrastructure or core research grants; 17 administrative or
minority supplements; and seven pilot studies.
- The CRN has participated in other funded work, including 12 R01, U01, and P50 grants;
nine NCI, CDC, AHRQ, and pharmaceutical company contract studies; and three training
grants and career awards.
Characteristics of the Research Centers
|
GHC |
GHS |
HPHC |
HPRF |
HFHS |
KPCO |
KPG |
KPH |
KPNC |
KPNW |
KPSC |
LHS |
MCRF |
MPCI |
1983 |
2003 |
1969 |
1989 |
1948 |
1987 |
1998 |
1991 |
1961 |
1964 |
1975 |
1990 |
1959 |
1996 |
28.1 |
3.8 |
24 |
10.2 |
66.9 |
14.7 |
1.6 |
4.0 |
62.7 |
30 |
19 |
2.3 |
29 |
1.2 |
89 |
90 |
80 |
75 |
86 |
63 |
75 |
90 |
93 |
90 |
63 |
100 |
42 |
70 |
29 |
14 |
45 |
13 |
81 |
15 |
3 |
2.5 |
52 |
54 |
14 |
6 |
25 |
10 |
25 |
1 |
12 |
10 |
24 |
17 |
3.5 |
2 |
76 |
24 |
22 |
3 |
10 |
2 |
269 |
118 |
130 |
78 |
500 |
106 |
12 |
31 |
467 |
250 |
90 |
31 |
190 |
23 |
Research facilities |
X |
X |
X |
X |
X |
X |
|
X |
X |
X |
|
|
X |
X |
X |
X |
X |
X |
X |
|
X |
X |
X |
X |
|
|
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
Characteristics of the Health Plans
|
GHC |
GHS |
HPHC |
HPRF |
HFHS |
KPCO |
KPG |
KPH |
KPNC |
KPNW |
KPSC |
LHS |
MCRF |
MPCI |
1947 |
1985 |
1969 |
1957 |
1960 |
1969 |
1985 |
1958 |
1945 |
1942 |
1947 |
1973 |
1916 |
1977 |
Structure, % |
80 |
90 |
20 |
64 |
65 |
100 |
90 |
100 |
100 |
100 |
100 |
52 |
85 |
53 |
20 |
10 |
80 |
0 |
30 |
0 |
10 |
0 |
0 |
0 |
0 |
48 |
15 |
46 |
0 |
0 |
0 |
36 |
5 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1 |
30 |
1,234 |
14 |
34 |
70 |
17 |
10 |
17 |
159 |
27 |
103 |
21 |
41 |
20 |
2 |
84 |
21 |
84 |
10 |
2 |
3 |
1 |
19 |
1 |
11 |
4 |
4 |
531 |
Total enrollment, x 1,0002 |
540 |
210 |
805 |
620 |
295 |
462 |
286 |
225 |
3,260 |
487 |
3,190 |
221 |
175 |
171 |
80 |
82 |
793 |
77 |
84 |
83 |
87 |
85 |
87 |
82 |
85 |
85 |
88 |
954 |
63 |
54 |
55 |
57 |
68 |
66 |
67 |
72 |
75 |
66 |
71 |
N/A |
73 |
92 |
51 |
41 |
- |
44 |
56 |
56 |
54 |
63 |
66 |
57 |
61 |
N/A |
68 |
92 |
Age, years, % |
30 |
27 |
33 |
36 |
30 |
30 |
32 |
32 |
32 |
31 |
34 |
34 |
31 |
29 |
24 |
26 |
31 |
29 |
26 |
27 |
34 |
28 |
28 |
27 |
27 |
29 |
23 |
24 |
33 |
30 |
29 |
27 |
31 |
29 |
27 |
28 |
28 |
30 |
27 |
26 |
26 |
27 |
7 |
8 |
4 |
4 |
7 |
8 |
4 |
6 |
7 |
7 |
7 |
7 |
9 |
9 |
6 |
9 |
3 |
4 |
6 |
6 |
3 |
5 |
6 |
5 |
5 |
5 |
10 |
11 |
53 |
51 |
52 |
52 |
55 |
53 |
52 |
51 |
52 |
52 |
53 |
52 |
53 |
51 |
Race, % |
82 |
96 |
75 |
85 |
67 |
75 |
63 |
25 |
51 |
84 |
38 |
55 |
97 |
87 |
3 |
<1 |
16 |
6 |
28 |
6 |
33 |
<1 |
8 |
3 |
8 |
1 |
<1 |
2 |
6 |
0 |
5 |
5 |
2 |
2 |
<1 |
63 |
17 |
5 |
10 |
1 |
<1 |
3 |
1 |
<1 |
<1 |
<1 |
<1 |
1 |
<1 |
<1 |
<1 |
1 |
<1 |
2 |
<1 |
<1 |
4 |
1.4 |
4 |
4 |
1 |
15 |
<1 |
3 |
19 |
6 |
41 |
38 |
<1 |
8 |
35 |
<1 |
0 |
0 |
2 |
1 |
4 |
17 |
5 |
1 |
<1 |
0 |
<1 |
0 |
1) Includes affiliated hospitals.
2) Total enrollment, all sites combined: 10,966,000 members.
3) 1-year retention is for Dec 2002 cohort.
4) Retention among cancer survivors only.
5) Includes persons reporting >1 race.
GHC = Group Health Cooperative (Group Health Center for Health Studies)
GHS = Geisinger Health System (Geisinger Center for Health Research)
HPHC = Harvard Pilgrim Health Care (Department of Ambulatory Care and Prevention)
HPRF = HealthPartners (HealthPartners Research Foundation)
HFHS = Henry Ford Health System (Center for Health Services Research)
KPCO = Kaiser Permanente Colorado (Institute for Health Research)
KPG = Kaiser Permanente Georgia (Center for Health Research-Southeast)
KPH = Kaiser Permanente Hawaii (Center for Health Research-Hawaii)
KPNC = Kaiser Permanente Northern California (Division of Research)
KPNW = Kaiser Permanente Northwest (Center for Health Research-Northwest)
KPSC = Kaiser Permanente Southern California (Department of Research & Evaluation)
LCF = Lovelace Health System (Lovelace Clinic Foundation)
MCRF = Marshfield Clinic (Marshfield Clinic Research Foundation)
MPCI = Fallon Community Health Plan (Meyers Primary Care Institute)
|