Table 2.

Factors in Translating Screening and Prevention Science from Academic Centers to Affiliated Network Community Centers and Collaborating Community Sites.

Factors Promoting Translation	Factors Limiting Translation
Establishing or accepting clear guidelines for screening and prevention	Insurers and IPAs desire reduced spending
Atmosphere of Collaboration and Congeniality	Contracts with physicians to reduce spending
Education at tumor boards and presentations	Limited resources at hospitals
Establishing screening and prevention programs at hospitals	Constricted time to focus on screening and prevention
Coordinating with voluntary health care organizations	Lack of payment for services or medications
American Cancer Society	Compliance surveys not focused on screening and prevention
American Lung Association	Lack of coordination
Cancer Support Community	High cost to patients
	Need to distinguish between screening for lung cancer versus diagnostic services to evaluate symptoms