Implementing Cancer Genomics in State Health Agencies: Mapping Activities to an Implementation Science Outcome Framework.

Implementing Cancer Genomics in State Health Agencies: Mapping Activities to an Implementation Science Outcome Framework.
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在州卫生机构实施癌症基因组学:将活动映射到实施科学成果框架。

DOI:
10.1159/000510336
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发表时间:
2020
影响因子:
1.7
通讯作者:
Senier L
Senier L
中科院分区:
医学4区
文献类型:
--
作者:
Green RF;Kumerow MT;Rodriguez JL;Addie S;Beachy SH;Senier L

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为了展示州卫生机构如何规划和评估活动以加强公共卫生基因组学的证据基础,我们将州癌症基因组学活动映射到Doyle等人的实施科学成果框架。我们通过审查疾病控制和预防中心(CDC)癌症基因组学计划资助接受者的项目叙述,与州卫生机构进行讨论,并进行环境扫描,确定了州卫生机构解决遗传性乳腺癌和卵巢癌(HBOC)和林奇综合征(LS)的活动。国家卫生机构的癌症基因组学活动包括开发或增加国家监测系统,开发教育材料,双向报告,促进健康计划政策的变化,培训提供者,并促进建议和标准。为了解决健康方面的差距,有关方案跟踪了群体差异,制定了适合文化的教育材料,并促进了服务不足人口获得服务的机会。州卫生机构可以使用Doyle等人的绩效目标和结果指标来评估拟议的和正在进行的活动。通过证明活动是否会改善结果,州卫生机构可以为癌症基因组学活动的实施提供证据。
To show how state health agencies can plan and evaluate activities to strengthen the evidence base for public health genomics, we mapped state cancer genomics activities to the Doyle et al. implementation science outcome framework. We identified state health agency activities addressing hereditary breast and ovarian cancer (HBOC) and Lynch syndrome (LS) by reviewing project narratives from Centers for Disease Control and Prevention (CDC) Cancer Genomics Program funding recipients, leading discussions with state health agencies, and conducting an environmental scan. State health agencies’ cancer genomics activities included developing or adding to state surveillance systems, developing educational materials, bidirectional reporting, promoting health plan policy change, training providers, and promoting recommendations and standards. To address health disparities, programs have tracked group differences, developed culturally-appropriate educational materials, and promoted access to services for underserved populations. State health agencies can use the Doyle et al. performance objectives and outcome measures to evaluate proposed and ongoing activities. By demonstrating whether activities result in improved outcomes, state health agencies can build the evidence for the implementation of cancer genomics activities.
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