Sample Research Proposal
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Central Piedmont Community College *
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ENG114
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English
Date
Jan 9, 2024
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7
Uploaded by harp6442
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Teleoncology- Bridging the Gap for Oncology Patients Student Name Department of English, Carolinas College of Health Sciences Eng. 240: Research and Evaluation Shelley Palmer, BA, MA June 29, 2020
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Introduction Cancer is the 2nd leading cause of death in the United States (CDC, 2018). Cancer does not discriminate on who it affects, how it affects the body, and how it can destroy a life. According to the Center for Disease Control and Prevention (CDC), 1.6 million people are diagnosed with cancer yearly and 600,000 people die every year (CDC, 2018). The National Cancer Institute (NCI) states that disparities occur when outcomes are improving overall but the improvements are delayed to some groups (National Cancer Institute, n.d.). The medically underserved population includes individuals with limited access to quality healthcare. Regular screening, testing, diagnosing, and treatment can be delayed to individuals that are not able to travel to specialty centers. This creates a barrier for these individuals, and teleoncology can make an impact to help alleviate some of these disparities in cancer care for the roughly 19% of the population that lives in rural areas (ACCC, 2018). Teleoncology can increase access to care for those living in remote locations, decrease costs for the healthcare system and the patient, and improve overall patient satisfaction (Doyle, 2016). The increase in the use of teleoncology does not come without complications. The most evident complication is how to correctly charge and get reimbursed for using telehealth services. Medicare and Medicaid have limited billing codes and guidelines, licensing, and prescribing vary by state for the medical professionals. Updated policies and clinical guidelines will need to be acknowledged to provide the safest care to these individuals. Teleoncology can include many aspects of care such as telephone calls, videoconferencing, virtual outreach clinics, email, even apps on a smartphone.
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According to Gilbertson-White, S., et.al. rural areas are facing a severe shortage of healthcare providers, with only one oncologist per 100,000 residents compared to five oncologists per 100,000 residents in urban and suburban areas (2019). This statistic supports the need for greater availability for individuals in rural areas. The decreased availability of oncologists can lead to a decrease in appointment availability, and an increase in the cost of traveling to larger specialty clinics for care over the entire treatment timeline. This research project will investigate teleoncology and how it can help decrease barriers for rural cancer patients. Research Methods The evidence I will gather to evaluate the use of teleoncology to decrease barriers for oncology patients will be a multi-step approach. Websites such as CDC and The National Cancer Institute (NCI)will be utilized. FastStats will be utilized which provides cancer statistics in the US. The statistics from FastStats are associated with the Centers for Disease Control and Prevention (CDC). The CDC is a national public health institute that works to protect the public on health issues and to maintain medical statistics. The National Cancer Institute (NCI) is the nation’s leader in cancer research in the US. NCI and CDC both provide cancer statistics, detailed information on types of cancer, current cancer research, and research resources. Databases such as ClinicalKey and CINAHL will be utilized to find peer-reviewed journal articles. The Oncology Nursing Society also has a database that members can use to access peer-reviewed oncology-
focused journal articles, podcasts, and books. Peer-reviewed journal articles are an important aspect of research because they give scrutiny to topics and verify that the information is factual and uphold to the standards in that area of study. Quantitative
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