Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Administrative Supplement

在实施和传播方面开展研究，以缩小差距并实现癌症控制的公平性 (BRIDGE-C2) 行政补充文件

• 批准号: 10412709
• 负责人: Jennifer E DeVoe
• 金额: $ 6.39万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10412709
• 关键词: Accounting; Administrative Supplement; Adoption; Adverse effects; Age; Area; Award; Behavioral; Cancer Control; Caring; Clinic; Collaborations; Collection; Common Data Element; Communities; Community Health Networks; Data; Development; Dissemination and Implementation; Early Diagnosis; Economics; Electronic Health Record; Evidence based intervention; Face; Funding; Geographic Locations; Health; Health Insurance; Health Sciences; Health Services Accessibility; Healthcare; Infrastructure; Institutes; Insurance; Intervention; Laboratories; Learning; Low income; Malignant Neoplasms; Measures; Medicaid eligibility; Methods; Neighborhood Health Center; Neighborhoods; Oregon; Outcome; Patients; Phase; Pilot Projects; Police; Population; Positioning Attribute; Prevention; Primary Health Care; Publications; Research; Research Personnel; Scanning; Screening for cancer; Site; Social Conditions; Update; Vulnerable Populations; Work; base; cancer prevention; cancer therapy; data cleaning; data repository; diabetes control; evidence base; experience; food environment; health disparity; health inequalities; hypertension control; implementation barriers; implementation science; implementation strategy; improved; innovation; interest; multidisciplinary; parent grant; practice-based research network; preventive intervention; primary care setting; repository; rural area; safety net; social; social health determinants; training opportunity

PROJECT SUMMARY This supplement is a collaborative effort across all seven ISC3 Centers in which we will conduct an environmental scan of social determinants of health (SDH), “the conditions in which people are born, grow, live, work, and age,” within site-specific geographic areas. The Centers will select a set of outer context common data elements (OC-CDE) and build a repository with these data. Measures of interest to include in the OC-CDE repository represent seven domains to capture the following environments: food, physical, economic, social, health care, cancer behavioral and screening, and cancer-related polices. As we plan and implement interventions for the prevention, early detection, and treatment of cancer, we must take the outer context into account. Indeed, SDH are key influencers of health inequality and contribute to health disparities between populations and communities. The BRIDGE-C2 Center Implementation Laboratory is a network of community health centers (CHCs). CHCs face some of the most difficult implementation challenges, as they primarily serve patients with low-income, without health insurance, and living in rural areas. As the BRIDGE-C2 Center targets implementation strategies aimed at improving the adoption of evidence-based cancer screening and prevention interventions, it is clear that we cannot ignore the outer context that the CHCs deliver care in as well as the contextual conditions that patients' experience. As such, collecting outer context measures is essential to provide a robust and complete environmental scan of the clinics. In addition, the BRIDGE-C2 Center is uniquely positioned to assess the independent or combined effect of SDH at the clinic- versus the patient-level. Therefore, the BRIDGE-C2 Center has two main aims for this supplement, first to contribute to the collection of outer context measures and conduct an environmental scan of SDH within the BRIDGE-C2 Center Implementation Laboratory of CHCs in OR, WA, and CA; and second to assess the independent or combined effect of contextual SDH at the clinic- and patient-level on adoption of evidence-based cancer screening and prevention. This will be the first study to assess the impact of practice outer context on cancer screening and prevention interventions while accounting for the patient-level SDH. Findings from this study will provide valuable learnings for all ISC3 Centers and inform cross-Center collaboration in Phase II of the supplement.

项目摘要 该补充是所有七个ISC 3中心的合作成果，我们将在其中开展一项 健康社会决定因素的环境扫描（SDH），“人们出生、成长、 生活、工作和年龄”。中心将选择一组外部环境 公共数据元素（OC-CDE），并使用这些数据构建存储库。应列入《公约》的利益衡量标准 OC-CDE存储库代表七个领域，以捕获以下环境：食品，物理，经济， 社会、卫生保健、癌症行为和筛查以及癌症相关政策。当我们计划和实施 为了预防、早期发现和治疗癌症，我们必须将外部环境纳入 帐户.事实上，SDH是健康不平等的关键影响因素，并导致了 人口和社区。BRIDGE-C2中心实施实验室是一个社区网络， 健康中心（CHCs）。社区卫生中心面临着一些最困难的实施挑战，因为它们主要 为低收入、无医疗保险和生活在农村地区的患者提供服务。作为BRIDGE-C2中心 目标是实施旨在改善循证癌症筛查采用情况的战略， 预防干预措施，很明显，我们不能忽视的外部环境，社区卫生中心提供照顾，以及 作为患者所经历的情境条件。因此，收集外部环境指标至关重要 为诊所提供全面的环境扫描。此外，BRIDGE-C2中心 独特的定位，以评估独立或综合作用的SDH在诊所-与病人的水平。 因此，BRIDGE-C2中心有两个主要目标，首先是帮助收集 外部环境测量并在BRIDGE-C2中心内进行SDH的环境扫描 在俄勒冈州、华盛顿州和加利福尼亚州的社区卫生中心实施实验室;第二，评估独立或合并的 在临床和患者水平上，背景SDH对采用循证癌症筛查的影响， 预防这将是第一项评估实践外部环境对癌症筛查影响的研究， 预防干预措施，同时考虑到患者层面的SDH。这项研究的结果将提供 为所有ISC 3中心提供有价值的经验教训，并为补充的第二阶段的跨中心合作提供信息。