survivors through a collaborative network established to meet the following goals:

  • Transform how survivors are perceived, treated, and served;

  • Help create a body of knowledge, understanding, and evidence;

  • Develop and deliver evidence-based treatment and care interventions;

  • Increase the quality and integration of survivorship services;

  • Strengthen linkages between survivorship services and primary cancer treatment and care;

  • Increase accessibility to services among ethnically diverse and underserved survivors;

  • Create insurance and reimbursement mechanisms to cover survivors’ care and services; and

  • Help find sources of support to sustain survivorship centers over the long term.

In establishing these goals, the LAF recognized the complexity of survivorship care, the relative lack of experience with long-term survivorship care, and the lack of training available for providers of survivorship care.

Centers of excellence have been established in five locations: (1) Memorial Sloan-Kettering Cancer Center in New York City; (2) Dana-Farber Cancer Institute in Boston; (3) Fred Hutchinson Cancer Research Center in Seattle; (4) the University of Colorado in Denver; and (5) the Jonsson Comprehensive Cancer Center at the University of California, Los Angeles. These centers will be involved in the following activities:

  • Collaborative clinical, biomedical, psychosocial, and health services research;

  • Accessible, relevant, and integrated quality care and services;

  • Development and testing of new medical, psychosocial, and behavioral interventions;

  • Dissemination and delivery of new information, interventions, and best practices to those in need; and

  • Training the next generation of health care professionals, social service providers, and researchers.

Each center of excellence will develop its own network of community-based centers, which will provide direct services locally to survivors in traditionally underserved areas. Figure 5-1 shows the interactions among the LAF, the centers of excellence, and their affiliated network of community-based centers.

The LAF invited selected cancer centers to respond to a “closed” request for proposals (RFP). The following additional four cancer programs

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