Engaging Community-Academic Partnerships: A Case Study of the Influence of Social Drivers of Health on Equitable Transitions of Cancer Care in the United States.

Engaging Community-Academic Partnerships: A Case Study of the Influence of Social Drivers of Health on Equitable Transitions of Cancer Care in the United States.
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参与社区-学术伙伴关系:健康的社会驱动因素对美国癌症护理公平过渡影响的案例研究。

DOI:
10.3390/healthcare12020264
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发表时间:
2024-01-19
期刊:
影响因子:
2.8
通讯作者:
Vohra-Gupta, Shetal
Vohra-Gupta, Shetal
中科院分区:
医学4区
文献类型:
--
作者:
Noel, Lailea;Cubbin, Catherine;Vohra-Gupta, Shetal

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持久的社区-学术伙伴关系对于加快成功传播和实施有前途的干预措施和计划至关重要,特别是对于癌症预防和控制等复杂的公共卫生问题。本案例研究的目的是了解不同利益相关者群体的联合声音,以概述将研究转化为社区内可持续癌症护理所需的基本因素。系统动力学组模型的建立被用来开发系统地图的因素影响公平获得癌症护理服务之间的三个利益相关者群体(A组:幸存者和家庭成员,n = 20; B组:社区机构/组织的提供者和管理者,n = 40; C组:来自美国德克萨斯州中部的癌症研究所、学术大学、基金会和协调护理的医疗保健机构的管理人员,n = 25)。首席研究员确定了涉及护理过渡的因素及其相互之间的联系。本作品的分析直观地展示了这些联系。这些模型代表了影响投资于癌症护理结果的利益相关者的护理过渡的因素的涟漪反应。所有这三个小组都将医疗不信任、文化敏感和多样化的提供者队伍以及护理协调确定为三个基本因素(即,主题)。A组还确定了护理员导航。这两个组对上游和下游健康社会驱动因素的重视程度各不相同,B组强调前者,C组强调后者。为了实现癌症护理公平,所有利益攸关方群体都同意必须解决社会驱动因素的影响,将其视为关键差距。消除或减少这些影响使每个利益相关者群体能够更有效地工作,以改善对患者的癌症护理。
Enduring community–academic partnerships are essential for expediting the successful dissemination and implementation of promising interventions and programs, particularly for complex public health issues such as cancer prevention and control. The purpose of this case study was to understand the combined voices of a diverse group of stakeholders to outline the essential factors needed to translate research into sustainable cancer care within communities. System dynamics group model building was used to develop system maps of the factors impacting equitable access to cancer care services among three stakeholder groups (Group A: survivors and family members, n = 20; Group B: providers and administrators in community agencies/organizations, n = 40; Group C: administrators from a cancer institute, academic universities, foundations, and healthcare facilities that coordinate care, n = 25) in central Texas, USA. The lead researcher identified factors involved in transitions of care and their linkages with each other. The analysis of this work displays these connections visually. These models represent the ripple effect of factors influencing the transition of care for stakeholders who are invested in cancer care outcomes. All three groups identified medical mistrust, a culturally sensitive and diverse provider workforce, and care coordination as three essential factors (i.e., themes). Group A also identified caregiver navigation. The groups varied in their emphasis on upstream vs. downstream social drivers of health, with Group B emphasizing the former and Group C emphasizing the latter. To achieve cancer care equity, all stakeholder groups agreed on the importance of addressing the impact of social drivers as critical gaps. Eliminating or reducing these impacts allows each stakeholder group to work more efficiently and effectively to improve cancer care for patients.
DOI: 10.3102/0013189x18761042
发表时间: 2018-05-01
影响因子: 8.2
作者:
Farley-Ripple, Elizabeth;May, Henry;McDonough, Kalyn
通讯作者: McDonough, Kalyn
DOI: 10.1177/1077558703259069
发表时间: 2003-12-01
影响因子: 2.5
作者:
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DOI: 10.1111/j.1748-0361.2003.tb00563.x
发表时间: 2003-06-01
影响因子: 4.9
作者:
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通讯作者: Hutchison, L
DOI: 10.1353/cpr.0.0108
发表时间: 2010-01-01
期刊: Progress in community health partnerships : research, education, and action
影响因子: --
作者:
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通讯作者: Zapka, Jane
DOI: 10.1525/jer.2010.5.1.19
发表时间: 2010-03
期刊: Journal of empirical research on human research ethics : JERHRE
影响因子: --
作者:
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