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.

项目总结 本补充资料是所有七个ISC3中心的协作成果，我们将在这些中心开展 健康的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“，在特定的地理区域内。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。要包括在 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、医疗保健、癌症行为和筛查以及癌症相关政策。随着我们的计划和实施 预防、早期发现和治疗癌症的干预措施，我们必须考虑到外部环境 帐号。事实上，SDH是健康不平等的关键影响因素，并导致 人口和社区。桥-C2中心实施实验室是一个社区网络 健康中心(CHC)。初级保健中心面临一些最困难的执行挑战，因为它们主要 服务低收入、无医保、生活在农村的患者。作为桥梁-C2中心 目标实施战略，旨在改进采用循证癌症筛查和 在预防干预方面，显然我们不能忽视儿童保健中心提供护理的外部环境 作为患者体验的背景条件。因此，收集外部环境度量是必不可少的 为诊所提供强大和完整的环境扫描。此外，桥-C2中心是 独一无二的定位，可以评估SDH在临床和患者层面的独立或综合影响。 因此，桥-C2中心对这一补充有两个主要目的，首先是为收集 外部环境测量并对桥接-C2中心内的SDH进行环境扫描 运营区、华盛顿州和加利福尼亚州的CHC实施实验室；第二，评估独立或合并的 临床和患者层面的背景SDH对采用循证癌症筛查和治疗的影响 预防。这将是第一项评估实践外部环境对癌症筛查和 预防干预，同时考虑患者水平的SDH。这项研究的结果将提供 对所有ISC3中心有价值的学习，并在补充资料的第二阶段为跨中心协作提供信息。