ISCCCE: Advancing Health Equity through Implementation Science: Environmental Scans and Cross-Site Collaboration

摘要 健康的社会决定因素是健康不平等的关键影响因素，并导致健康差距。 在人口和社区之间。实施科学(IS)具有加速发展的特别潜力 在实现卫生公平目标方面取得进展，重大工作侧重于在环境中的实施 为边缘人群服务。上下文是IS的一个中心功能，但它经常定义不明确或已消失 未上报。当考虑到这一点时，对语境的关注主要集中在内部环境上，在这种环境中 实施干预，相对较少考虑外部环境可能如何影响 实施。认为执行组织不受其社区的影响是天真的 背景。它是在员工被雇用和工作的背景下，在患者生活的背景下，在 组织必须获得商品和服务，以支持其业务和医疗保健使命。未能做到 充分衡量外部环境并使用这些数据为执行工作提供信息限制了适用性和 研究结果适用于不同人群、环境和时间段的概括性。 来自癌症控制公平实施科学中心(ISCCCE)的这份补充申请将 通过与其他六个ISC3中心合作创建一组外部环境公共数据来应对这一挑战 将为所有中心收集的元素(OC-CDE)。本增刊提供了一个独特的机会 创建一套强大的共享措施，可用于了解和探索外部环境的影响 关于广泛环境下的执行结果的背景。这是一项关键的努力，以进行 环境扫描，将以全面的方式描述外部实现上下文的特征，并且 将代表着全美如此不同的背景。

Abstract Social determinants of health are key influencers of health inequality and contribute to health disparities between populations and communities. Implementation science (IS) has particular potential to accelerate progress toward achieving health equity goals, and significant work has focused on implementation in settings that serve marginalized populations. Context is a central feature of IS, yet it is frequently poorly defined or goes unreported. When it is considered, attention to context is mostly focused on the inner setting in which the intervention is implemented, with relatively little consideration of how the outer context may impact on implementation. It is naïve to think that implementing organizations are not impacted by their community context. It is in the context in which employees are hired and work, that patients live in, and in which organizations must acquire goods and services to support their business and health care mission. Failure to fully measure outer context and to use that data to inform implementation efforts limits the applicability and generalizability of study findings to different populations, settings, and time periods. This supplement application from the Implementation Science Center for Cancer Control Equity (ISCCCE) will meet this challenge by partnering with the six other ISC3 centers to create a set of outer context common data elements (OC-CDE) that will be collected for all centers. This supplement represents a unique opportunity to create a robust set of shared measures that can be utilized to understand and explore the impact of outer context on implementation outcomes in a wide range of settings. This is a critical effort to conduct an environment scan that will characterize the outer implementation context in a comprehensive manner and that will represent such a diverse range of settings across the US.