Role of norms in variation in cancer centers' end-of-life quality: qualitative case study protocol.

ABSTRACT:

Background

A critical barrier to improving the quality of end-of-life (EOL) cancer care is our lack of understanding of the mechanisms underlying variation in EOL treatment intensity. This study aims to fill this gap by identifying 1) organizational and provider practice norms at major US cancer centers, and 2) how these norms influence provider decision making heuristics and patient expectations for EOL care, particularly for minority patients with advanced cancer.

Methods

This is a multi-center, qualitative case study at six National Comprehensive Cancer Network (NCCN) and National Cancer Institute (NCI) Comprehensive Cancer Centers. We will theoretically sample centers based upon National Quality Forum (NQF) endorsed EOL quality metrics and demographics to ensure heteroge

SUBMITTER: Knutzen KE 

PROVIDER: S-EPMC7453548 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature