Table 1 Summary of Team ACCESS research
From: A team approach to improving colorectal cancer services using administrative health data
Area of Study | Research Question/Study | Theme(s) |
|---|---|---|
From screening/symptoms to diagnosis | What are the peri-diagnostic time intervals for CRC care? What factors affect receipt of timely care? | Access |
| Â | What factors related to pre-CRC diagnosis health care utilization are associated with late stage diagnosis of CRC? | Access, Quality |
| Â | Using micro-simulation, how will introduction of a population-based screening program impact on resource and health services utilization? | Access |
From diagnosis to surgery | What are the surgical time intervals for CRC care? What factors affect receipt of timely care? | Access |
| Â | Are there differences in the use of health care services for emergency vs. elective presentation of CRC? | Access, Quality |
| Â | Has adequate lymph node assessment improved over time? | Quality |
| Â | What are the effects of lymph node assessment on overall CRC survival? | Quality |
| Â | Exploring Stage IIB survival: can we identify factors associated with poor outcomes in Stage IIB patients? | Access, Quality |
| Â | Timely access to and quality of care in CRC: are they related? | Access, Quality |
From surgery to adjuvant treatment (chemotherapy/ radiotherapy) | What are the treatment time intervals for adjuvant CRC care? What factors affect receipt of timely care? | Access |
| Â | Is adjuvant therapy administered in accordance with established clinical practice guidelines? | Access, Quality |
| Â | What are the reasons for non-adherence to guidelines? | Quality |
| Â | Does inequity exist in meeting established benchmarks for radiotherapy and in receipt of treatment? | Access, Quality |
| Â | What is the completeness of colonoscopy, surgery, and pathology reporting for rectal cancer patient receiving radiotherapy? | Quality |
From adjuvant treatment to follow-up care | What are the patterns of follow-up care for CRC? | Access, Quality |
| Â | Is follow-up care being provided according to established clinical practice guidelines? | Access, Quality |
| Â | How do patients feel about the follow-up care they receive? | Access, Quality |
| Â | Are CRC survivors receiving appropriate screening services for other cancers? | Access |
End-of-life care | What are the patterns of medication use amongst end-of-life CRC patients? | Access, Quality |
| Â | Does inequity exist in health care utilization for CRC patients at end-of life? | Access |
Knowledge Translation | Which approaches/strategies are useful in integrating research findings into clinical practice? | Â |