May 4, 2011

Multilevel Interventions in Health Care: Presentation by Jane Zapka, ScD

Multilevel Interventions in Health Care: Building the Foundation for Future Research Goals

Multilevel Factors Impacting Quality: Examples from the Cancer Care Continuum Lead author: Jane Zapka, ScD (Medical University of South Carolina)

The purpose of this paper is to use case scenarios representing two types of care (screening and survivorship) to: a) illustrate the variability, diversity, and interaction of factors from multiple levels that impact the quality of care delivery across the cancer continuum; and b) discuss implications for research and provide examples of multilevel interventions. The overall goal of such interventions is to have a positive impact on care as indicated by the characteristics of quality care, and ultimately affect morbidity and mortality.

Conference Description
The research conference sponsored by the National Cancer Institute assembled health care researchers, clinicians, and administrators to discuss the importance of multilevel approaches to improving health care quality in the United States. It occurred over two days and was associated with the American Society for Preventive Oncology's (ASPO) annual meeting in March of 2011.

This presentation is one of 13 research papers. The conference offered platforms for participant discussion and engagement regarding the opportunities and challenges of multilevel intervention research. Recorded sessions, presentation slides, and additional resources are available at

This page last reviewed on April 27, 2015