Context can influence cancer-related outcomes. For example, healthcare organization characteristics including ownership, leadership, and culture can impact care access, communication, and patient outcomes. Healthcare organization characteristics and other contextual factors can also influence whether and how clinical discoveries reduce cancer incidence, morbidity, and mortality. Importantly, policy, market, and technology changes are transforming healthcare organization design, culture, and operations across the cancer continuum. Consequently, research is essential to examine when, for whom, and how organizational characteristics influence person-, organization-, and population-level cancer outcomes. Understanding organizational characteristics—the structures, processes, and other features of entities involved in healthcare delivery—and their dynamics—is an important, yet understudied area of care delivery research across the cancer continuum. Research incorporating organizational characteristics is critical to address health inequities, test care delivery models, adapt interventions, and strengthen implementation. However, the field lacks conceptual grounding to help researchers identify germane organizational characteristics. We propose a framework identifying organizational characteristics relevant for cancer care delivery research based on conceptual work in health services, organizational behavior, and management science and refined using a systematic review and key informant input. The proposed framework is a tool for organizing existing research and enhancing future cancer care delivery research. Following a 2012 Journal of the National Cancer Institute monograph, this work complements National Cancer Institute efforts to stimulate research addressing the relationship between cancer outcomes and contextual factors at the patient, provider, team, delivery organization, community, and health policy levels.

中文翻译：

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癌症护理服务中的医疗机构特征：具有内容验证的综合概念框架

背景可以影响癌症相关的结果。例如，医疗保健组织的特征（包括所有权、领导力和文化）可能会影响护理获取、沟通和患者治疗结果。医疗保健组织的特征和其他背景因素也会影响临床发现是否以及如何降低癌症发病率、发病率和死亡率。重要的是，政策、市场和技术的变化正在改变整个癌症领域的医疗保健组织的设计、文化和运营。因此，研究对于检查组织特征何时、为谁以及如何影响个人、组织和人群水平的癌症结果至关重要。了解组织特征（参与医疗保健服务的实体的结构、流程和其他特征及其动态）是整个癌症连续体的护理服务研究的一个重要但尚未得到充分研究的领域。结合组织特征的研究对于解决健康不平等问题、测试护理提供模式、调整干预措施和加强实施至关重要。然而，该领域缺乏概念基础来帮助研究人员识别相关的组织特征。我们提出了一个框架，该框架基于卫生服务、组织行为和管理科学中的概念工作，确定与癌症护理提供研究相关的组织特征，并使用系统评价和关键信息输入进行完善。拟议的框架是组织现有研究和加强未来癌症护理研究的工具。继 2012 年《国家癌症研究所杂志》专着之后，这项工作补充了国家癌症研究所的努力，以促进研究解决癌症结果与患者、提供者、团队、交付组织、社区和卫生政策层面的背景因素之间的关系。