iDAPT Health Equity Supplement: An environmental scan of outer and inner context and social determinants of health among ISC3 Centers

iDAPT 健康公平补充：对 ISC3 中心的外部和内部背景以及健康的社会决定因素进行环境扫描

• 批准号: 10413312
• 负责人: Sarah LeLeiko Cutrona
• 金额: $ 7.5万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10413312
• 关键词: Address; Administrative Supplement; Affect; Cancer Control; Collaborations; Common Data Element; Community Health Systems; Environment; Fostering; Goals; Health; Healthcare Systems; Incidence; Malignant Neoplasms; Measurement; Measures; Morbidity - disease rate; Outcome; Patient Care; Positioning Attribute; Scanning; Shapes; Site; Social Environment; System; cancer care; care delivery; care outcomes; forest; health equity; health inequalities; implementation science; implementation strategy; implementation study; improved; mortality; social health determinants

Project Abstract Social determinants of health (SDOH) have critical implications for shaping health and health inequities in cancer incidence, morbidity and mortality. The Implementation Science Centers in Cancer Control (ISC3) are uniquely positioned to evaluate the SDOH that drive these disparities and ultimately identify implementation strategies to reduce them. SDOH shape the Outer Context (i.e., broader sociopolitical environment) that affect communities, health systems, and its residents. The Inner Context (i.e., healthcare systems) is uniquely positioned to identify and address SDOH to improve patient care and cancer outcomes. The purpose of this Administrative Supplement is to advance health equity through implementation science using environmental scans and cross- site collaboration. Specifically, we will (1) partner with all ISC3 centers to conduct an environmental scan of Outer Context common data elements to better understand the sociopolitical context that drives cancer-related disparities; and (2) collaborate across two Centers (Wake Forest iDAPT ISC3 and UPenn ISC3) to measure Inner Context SDOHs within cancer care delivery settings. Results from this administrative supplement will facilitate multi-site pilot implementation studies that improve the measurement and mitigation of SDOH to improve cancer care outcomes and health equity.

项目摘要 健康的社会决定因素（SDOH）对形成癌症的健康和健康不公平具有重要意义 发病率、发病率和死亡率。癌症控制实施科学中心（ISC 3）是唯一的 能够评估导致这些差异的SDOH，并最终确定实施战略， 减少它们。SDOH形成外部上下文（即，更广泛的社会政治环境），影响社区， 卫生系统及其居民。内部上下文（即，医疗保健系统）具有独特的定位， 并解决SDOH问题，以改善患者护理和癌症预后。本行政管理的目的 补充是通过实施科学，利用环境扫描和交叉， 现场协作。具体而言，我们将（1）与所有ISC 3中心合作，对外层空间进行环境扫描 背景通用数据元素，以更好地了解推动癌症相关的社会政治背景 差异;以及（2）在两个中心（维克森林iDAPT ISC 3和宾夕法尼亚大学ISC 3）之间进行合作，以测量内部 癌症护理提供环境中的SDOH。这一行政补充的结果将有助于 多地点试点实施研究，改善SDOH的测量和缓解，以改善癌症 保健成果和保健公平。