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Interorganizational exchanges as performance markers in a community cancer network
M M McKinney1, J P Morrissey, A D Kaluzny
1Bureau of Health Resources Development, Health Resources and Services Administration, Rockville, MD 20857.
Health Services Research
|October 1, 1993
Summary
Early physician involvement in clinical cooperative groups significantly boosts patient accruals in strategic partnerships. Consistent engagement and protocol use are key drivers for successful collaborations between community-based oncologists and hospitals (CCOPs) and cooperative groups.
Area of Science:
- Oncology
- Health Services Research
- Clinical Trials Management
Background:
- Strategic partnerships between community-based consortia of oncologists and hospitals (CCOPs) and clinical cooperative groups are crucial for advancing cancer research.
- Understanding the dynamics of these partnerships is essential for optimizing patient accrual in clinical trials.
Purpose of the Study:
- To examine the emergence, development, and influence of strategic partnerships between CCOPs and clinical cooperative groups on patient accruals.
- To identify factors that facilitate or hinder the success of these collaborations over time.
Main Methods:
- Analysis of 65 pairwise relationships between 38 CCOPs and eight clinical cooperative groups from 1983 to 1989.
- Utilized grantee applications and progress reports as data sources.
- Examined the relationship between CCOP-cooperative group exchange types (resource dependence, information exchange, protocol exchange) and CCOP patient accruals.
Main Results:
- Early attendance at cooperative group meetings by CCOP physicians and staff significantly influences later meeting attendance and protocol use.
- The number of different protocols used and CCOP representatives on committees explained over two-thirds of the variance in patient accruals.
- Historical relationships and anticipated resource dependence shaped initial exchange patterns.
Conclusions:
- Emphasizes the importance of early and sustained involvement in collaborative activities for strategic partnerships.
- Suggests that structures and processes rewarding high levels of interaction are vital for successful CCOP-cooperative group partnerships.
- Highlights the role of resource dependence and information exchange in shaping partnership dynamics and patient accrual.