MOONSHOT - TOPIC 423 - AN INTEGRATED MULTI-LEVEL DECISION SUPPORT PLATFORM TO ADDRESS PATIENT-CENTERED AND EVIDENCE-BASED SOCIAL DETERMINANTS OF HEALT

MOONSHOT - 主题 423 - 解决以患者为中心、基于证据的健康社会决定因素的综合多级决策支持平台

• 批准号: 10504039
• 负责人: Cupid Chunkin Chan
• 金额: $ 39.86万
• 依托单位: PISTEVO DECISION LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-16 至 2022-06-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10504039
• 关键词: Address; Advanced Malignant Neoplasm; Architecture; Breast; Cancer Patient; Caregivers; Caring; Cessation of life; Clinic; Clinical; Communication; Communities; Computer software; Data Collection; Data Element; Electronic Health Record; Feedback; Goals; Head and neck structure; Health; Health system; Healthcare Systems; Infrastructure; Interview; Malignant Neoplasms; Measures; Oncologist; Oncology; Patient Care Team; Patients; Prostate; Provider; Race; Reporting; Scanning; Social Workers; Societies; Software Engineering; System; Testing; Time; Treatment outcome; United States National Institutes of Health; base; cancer care; cancer diagnosis; cancer health disparity; cancer therapy; design; digital; disparity reduction; evidence base; follow-up; health assessment; health information technology; improved; informant; member; patient health information; patient oriented; prototype; psychosocial; screening; social determinants; social epidemiology; social health determinants; socioeconomics; software development; tool; treatment adherence; usability

A strong body of evidence demonstrates that addressing Social Determinants of Health (SDH) within healthcare systems advances cancer treatment adherence and outcomes. Preventable cancer deaths continue to occur because of un-addressed SDH challenges across socioeconomic groups and races. Integrating SDH along with clinical information within operational CDS systems built into Electronic Health Records (EHRs) is an essential approach for addressing cancer disparities. We propose developing a software aimed at: (1) Closing the gaps in electronic SDH screening, CDS, and clinical workflows (2) Developing a patientcentered and evidence-based SDH screening and CDS tool (3) Integrating the proposed tool within existing oncology workflows (4) Establishing a framework for continuous assessment and improvement of the proposed solution. Our three-pronged approach combines expertise from software engineering, oncology, and social epidemiology. Our solution will enhance the existing oncology practice by collecting timely and relevant SDH information from patients, together with evidence-based clinical actions addressing psychosocial needs of the patients, resulting in improved cancer treatment outcomes. It will streamline communication and decision support for the patient’s care team and community-based organizations dedicated to addressing patient’s needs, potentially leading to reduce disparities and the burden of a cancer diagnosis on the patient and society.

大量证据表明，在医疗保健领域解决健康的社会决定因素（SDH）