Community Outreach & Engagement

项目概要：社区外展与参与（COE） 弗雷德·哈奇/华盛顿大学癌症联盟的集水区包括13个县， 西华盛顿（WA）。该地区有503万人，其中32.3%是少数民族。 联盟领导层定义了集水区，以包括绝大多数的癌症事件， 财团，83%的财团案件来自这一领域。 该联盟于2017年成立的社区外展与参与办公室（OCOE）， 健康差异研究中心由Fred Hutch于2010年创立，并获得了来自 2015-2019癌症中心支持补助金（CCSG）。自2017年以来，OCOE联盟引领了需求 评估过程，以确定集水区的癌症负担， 指导解决癌症负担和不平等问题的努力。发病率和死亡率最高的五个癌症部位 包括肺、乳腺、前列腺、结肠直肠和血液恶性肿瘤。癌症最大的不平等 发病率和死亡率在美洲印第安人和阿拉斯加原住民（AIAN）和非西班牙裔黑人中 （NHB）。距离联合会地点最远的农村县的癌症发病率和死亡率也最高。 我们的目标是实现所有人的健康公平，无论他们的种族/民族，社会经济地位， 地理位置或任何其他潜在的限制因素。因此，该组织的具体目标是： 1.界定并持续监测集水区的癌症负担 2.采用公平、双向的方法实施外展和内展教育和方案， 减少集水区的癌症负担 3.促进与集水区有关的研究，以减轻癌症负担，包括研究 流域社区和联合会之间 4.在集水区以外的高需求地区继续并扩大癌症研究 为了实现这些目标，OCOE使需求评估成为一个持续的过程，并召开了一个 社区行动联盟，由代表所有13个集水区州的利益攸关方组成， 并指导我们对该地区动态需求的反应。与集水区的社区合作， OCOE支持扩展的外展和研究基础设施，包括扩大患者 导航和社区健康教育工作者，以促进集水区人口的参与，以及 一个新的以流域为重点的试点赠款计划，所有这些都包括对那些有 最高的癌症不平等（即，AIAN、NHB和农村人口）。

PROJECT SUMMARY: COMMUNITY OUTREACH & ENGAGEMENT (COE) The catchment area of the Fred Hutch/University of Washington Cancer Consortium includes 13 counties in western Washington (WA). This area has 5.03 million individuals of whom 32.3% are racial/ethnic minorities. Consortium leadership defined the catchment area to include the vast majority of incident cancers seen by the Consortium, with 83% of Consortium cases arising from this area. The Office of Community Outreach & Engagement (OCOE), established in 2017 by the Consortium, grew from the Health Disparities Research Center which was founded by Fred Hutch in 2010 and gained funding from the 2015-2019 Cancer Center Support Grant (CCSG). Since 2017, the Consortium OCOE led a needs assessment process to define the cancer burden in the catchment area and comprehensively identify and guide efforts to address the cancer burden and inequities. The top five cancer sites for incidence and mortality include lung, breast, prostate, colorectal, and hematologic malignancies. The largest inequities for cancer incidence and mortality were among American Indian and Alaskan Natives (AIAN) and non-Hispanic blacks (NHB). Rural counties furthest from the Consortium sites also had the highest cancer incidence and mortality. Our goal is to attain health equity for all individuals, regardless of their race/ethnicity, socioeconomic status, geographic residence, or any other potentially limiting factor. Therefore, the specific aims of the OCOE are to: 1. Define and continuously monitor the cancer burden in the catchment area 2. Use an equitable, bidirectional approach to implement outreach and inreach education and programs to reduce the cancer burden in the catchment area 3. Promote research relevant to the catchment area to reduce the burden of cancer, including research between catchment communities and the Consortium 4. Continue and expand cancer research in high need areas beyond the catchment area To achieve these aims, the OCOE has made the needs assessment a continuous process and convened a Community Action Coalition, consisting of stakeholders representing all 13 catchment area counties, to review and guide our response to the dynamic needs of the area. Working with communities in the catchment area, the OCOE supports an expanded outreach and research infrastructure, which includes expansion of patient navigation and community health educators to promote engagement of catchment area populations as well as a new catchment-focused pilot grants program, all of which include an additional emphasis on those with the highest cancer inequities (i.e., AIAN, NHB, and rural populations).