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Organization- and System-Level Factors Influencing Implementation Overview of Case Studies 

Organization- and System-Level Factors Influencing Implementation Overview of Case Studies
Chapter:
Organization- and System-Level Factors Influencing Implementation Overview of Case Studies
Author(s):

Stephanie B. Wheeler

DOI:
10.1093/med/9780190647421.003.0020
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date: 19 July 2019

Organization- and health system-level determinants of cancer outcomes are critical to understand. Studies focusing only on individual- or provider-level factors contributing to differential outcomes may mask the important, and often far-reaching, influence of organizational and system-wide structures, policies, norms, and behaviors that drive outcomes. This chapter explores case studies including implementation of patient reported outcomes symptom monitoring within a large academic medical center; cancer patient navigation programs to reduce social, economic, cultural, and system barriers to timely cancer care; how psychosocial support has been integrated into community-based and Veterans Administration (VA) oncology programs; and implementing Lynch syndrome testing within a VA integrated health care system.

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