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The Implementation Science Center for Cancer Control Equity

癌症控制公平实施科学中心

基本信息

批准号：
10540459
负责人：
Susan Dargon-Hart
金额：
$ 118.7万
依托单位：
HARVARD SCHOOL OF PUBLIC HEALTH
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10540459
关键词：
Address Behavioral Biological Cancer Burden Cancer Center Cancer Control Cancer Control Research Cancer Intervention Cancer Prevention Intervention Clinical Collaborations Communities Community Health Complex Data Data Collection Data Reporting Development Early Diagnosis Ecosystem Education Ensure Environment Ethnic Origin Evidence based intervention Future General Population Geography Goals Health Status Healthcare Income Incubators Institution Intervention Laboratories Leadership Link Low income Malignant Neoplasms Massachusetts Measures Methodology Methods Morbidity - disease rate Nature Neighborhood Health Center Outcome Participant Pilot Projects Policies Population Population Group Prevention strategy Preventive care Primary Health Care Race Reporting Research Research Methodology Resources System Testing Underrepresented Populations Ursidae Family Vendor base cancer health disparity cancer prevention care delivery clinical practice cost effective cost effectiveness data management data visualization design ethnic diversity evidence base health disparity health equity health inequalities implementation evaluation implementation outcomes implementation research implementation science implementation strategy implementation study improved innovation member mortality point of care pressure prevent preventive intervention racial and ethnic scale up screening social synergism

项目摘要

Abstract - Overall After decades of research developing and testing interventions for cancer control, we have the evidence needed to prevent more than half of all cancers. The impact of these strategies on cancer outcomes is significant for both the general population and low income and under-represented groups that bear a disproportionate share of preventable cancer burden, but evidence-based interventions have not been uniformly used across population groups. Gaps in implementation of the evidence base can be seen for nearly all known cancer prevention and early detection strategies. As a result, we incur substantial avoidable cancer morbidity and mortality and tolerate preventable inequities. The Implementation Science Center for Cancer Control Equity (ISCCCE) will create an ecosystem for robust implementation science (IS) related to cancer prevention and control in Massachusetts community health centers (CHCs) and their local communities. Our theme, improving community health by integrating health equity and implementation science for evidence-based cancer control, reflects our critical mass of expertise in cancer disparities, IS, and community-based cancer prevention and control research. Our “grand challenge” is to address the inequitable implementation and limited scale of evidence-based interventions by developing and testing implementation strategies aimed at narrowing health inequities and by advancing methods that carefully consider the low-resource, complex nature of CHCs where adaptation and cost-effective solutions are needed most. The implementation studies we conduct will address inequities within CHC clinical practice as well as prevention interventions that link to community resources and assets. Our I-Lab is comprised of 31 CHCs who are members of the Mass League of Community Health Centers and use a common EHR vendor- neutral population management system that has extensive reporting capability within and across CHCs, which will allow us to study implementation outcomes in different geographic settings across the state using common measures. Given that achieving equity in community health requires clinical, community, and policy-level interventions, our pilots will also examine how to expand the impact and sustainability of CHCs’ cancer prevention efforts through effective partnerships in community and policy settings. Our Network Unit connects us directly with other Moonshot IS initiatives and national community health leadership, and expands opportunities for collaboration and synergy, building IS capacity in our own institutions and across the nation.

摘要-总体