African American

Hispanic

Asian/Pacific

Native American/ Alaska Native

Dissemination

22

7

10

5

26

25

9

11

16

38

17

20

10

4

35

17

9

6

6

2

31

24

12

10

4

22

3

7

2

6

3

5

11

1

 

6

4

6

 

6

5

3

6

5

3

1

2

3

 

 

4

3

3

 

2

3

6

7

2

 

3

6

14

4

1

159

101

106

57

123

specifically targeting health care providers who come from minority and medically undeserved groups or who, regardless of their own backgrounds, serve those groups. As might be expected, much published research simply describes the results of specific projects or studies. There is little to no documentation of the long-term impacts of these studies for either health care providers or consumers at large. As a result, in the research literature, some investigators have begun to call for the use in dissemination of studies outcomes measurement approaches like those used in clinical studies. This may evolve into something like "clinical guidelines" for dissemination and diffusion.

The overall recommendation of the committee is that NCI and NIH should develop a strategic plan and timetable to address the issues raised in this chapter. The strategic plan should use established cancer guidelines and recommendations in the areas of cancer prevention, screening and early detection, diagnosis, treatment, and follow-up. The strategic plan should provide a "gold standard" against which knowledge, attitudes, and behaviors can be benchmarked across various target populations of health



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