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Is There A Strategy To Increase Accrual?

Discover effective strategies for increased patient accrual by tracking potential patients from hospital admissions, physician offices, public health services, and patient environments. Also, explore how physicians and specialists can play a crucial role in patient recruitment and engagement.

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Is There A Strategy To Increase Accrual?

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  1. Is There A Strategy To Increase Accrual?

  2. Tracking Down the Potential Patient • Hospital Admissions • Type of cancer cases. • Which doctors admitted them. • Who referred them to the admitting doctor. • From where were they referred.

  3. Tracking Down the Potential Patient • Physician Offices (more difficult to do) • Type of cases seen • What are their referral patterns

  4. Tracking Down the Potential Patient • Public Health services • Demographics • Health services available • Clinics and Nursing

  5. How does a patient get on a protocol? • Some • Symptoms-> Action -> No • ->MD Dx ->Rx or Refer -> • Specialist • Protocol • ->Treatment.

  6. Physician or Specialist • PERSONAL meeting • CME lectures • Economic stake • Personnel support • Money/patient

  7. Physician or Specialist • Prestige • Highlight involvement • Part of decision making • Follow the patients • Hotline for help or complaints

  8. Physician or Specialist • Do not forget: • Radiologist • Pathologist • Surgeon and others

  9. Patient Environment • Family Church • Neighbors Community Center Education level Social Worker Economic status Transportation

  10. NIH Research: • “Southern Research” Reputation

  11. Presentations to the general public • Community Centers • Churches • Schools • Workplaces • American Cancer Society

  12. Presentations to the general public • Advertising • Local new papers • Marketing • Public Relations • Radio and T.V. interviews

  13. Pitfalls of Community Medical Research • Research Generates • Institutional Review Board • Protocol Monitoring • Data Safety and Monitoring • Need for medical and administrative expertise • RTOG • Paperwork • Deviation from normal procedures

  14. Pitfalls of Community Medical Research • Physician Apathy • May loose control of decision making • Different from what they do • Time consuming

  15. Pitfalls of Community Medical Research • Hospital Administration • No experience with Fed. Grants • No compliance expertise

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