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) 对于癌症领域的健康和健康不平等具有重要影响 发生率、发病率和死亡率。癌症控制实施科学中心 (ISC3) 是独一无二的 旨在评估导致这些差异的 SDOH，并最终确定实施策略 减少它们。 SDOH 塑造影响社区的外部背景（即更广泛的社会政治环境）， 卫生系统及其居民。内部环境（即医疗保健系统）具有独特的地位来识别 并解决 SDOH 以改善患者护理和癌症结果。本行政命令的目的 补充是通过使用环境扫描和跨学科的实施科学来促进健康公平 站点协作。具体来说，我们将 (1) 与所有 ISC3 中心合作，对外部进行环境扫描。 关联常见数据元素，以更好地了解推动癌症相关的社会政治背景 差异； (2) 两个中心（Wake Forest iDAPT ISC3 和 UPenn ISC3）合作测量 Inner 癌症护理服务环境中的背景 SDOH。该行政补充的结果将有助于 多地点试点实施研究，改进 SDOH 的测量和缓解，以改善癌症 护理结果和健康公平。