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The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology

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Title
The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology
Name (ID = NAME001); (type = personal)
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Hanson
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Christopher S.
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Christopher S. Hanson
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author
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Schneider
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Dona
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Advisory Committee
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Dona Schneider
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chair
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Greenberg
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Michael
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Advisory Committee
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Michael R Greenberg
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internal member
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Cantor
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Joel
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Advisory Committee
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Joel C Cantor
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internal member
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West
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Bernadette
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Advisory Committee
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Bernadette M West
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outside member
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Rutgers University
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degree grantor
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Graduate School - New Brunswick
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school
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Text
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theses
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DateCreated (qualifier = exact)
2007
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2007
Language
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English
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electronic
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text/xml
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xi, 233 pages
Abstract
This dissertation assesses the effectiveness of the 2001 Institute of Medicine (IOM) report on palliative cancer care at inducing innovations in cancer research and practice among key organizational stakeholders in the health care system, including those concerned with cancer research and the provision of health care. The IOM report on cancer palliation was written by the National Cancer Policy Board, a diverse group consisting of prominent scientists, health care providers, third party payors, social scientists, patient advocates and others who have an interest in the development of cancer research, practice, and financing. Between 1997 and 2005 the Board published reports on cancer prevention, control, diagnosis, treatment, and palliation, until it was reorganized as the National Cancer Policy Forum.
The authors of the 2001 IOM report on cancer palliation found that patients who are dying of cancer usually face an enormous burden of physical discomfort, lost functionality, and psychological stress, as well as a strong possibility of economic hardship. The authors made ten recommendations, summarized into five program areas that address the need to improve research, practice, and reimbursement for palliative, supportive, and end-of-life care, and to improve the quality of educational materials oriented toward the patients with advanced cancer and their loved ones. Taken together these recommendations represent a complex organizational innovation, which the Board sought to induce by publishing the report.
This dissertation presents a case study of induced diffusion of innovation, by policy entrepreneurship within an epistemic community. The analysis includes review of documents, content analysis of relevant parts of the National Cancer Institute research program from 1998--2005 and professional journals from 1994--2004, and semi-structured interviews with key informants. The findings show that although the report's recommendations were sound its impact was limited by entrenched cultures at NCI and among professional groups.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references (p. 221-231).
Subject (ID = SUBJ1); (authority = RUETD)
Topic
Planning and Public Policy
Subject (ID = SUBJ2); (authority = ETD-LCSH)
Topic
Cancer--Palliative treatment
Subject (ID = SUBJ3); (authority = ETD-LCSH)
Topic
Palliative treatment
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Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
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http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072
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ETD_393
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3Q52Q0S
Genre (authority = ExL-Esploro)
ETD doctoral
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The author owns the copyright to this work.
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Copyright protected
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Open
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Name
Christopher Hanson
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Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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